AUTUMN KELSEY LEE (NPI# 1134726151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134726151 |
Entity Type | Individual |
Full Name | AUTUMN KELSEY LEE |
Credential | SLP-ASSISTANT |
Practice Address |
250 Bens Trl Apt 522 Fort Worth TX 76120-7000 |
Mailing Address |
6889 Hightower Dr Apt 522 North Richland Hills TX 76182-3355 |
Practice Telephone | 8175141544 |
Mailing Telephone | 8179035993 |
Enumeration Date | 2020-10-02 |
Last Update Date | 2020-10-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
38891 | TX | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851908263 | Autumn Lee | Behavior Technician | 6500 Pinecrest Dr Ste 700, Plano, TX 75024-2950 | 2020-09-29 |
1770043614 | Autumn Lee | Pharmacist | 701 E Palm Valley Blvd, Round Rock, TX 78664-3245 | 2019-03-25 |
1841677127 | Autumn Lee | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2015-05-06 |
Street Address |
250 BENS TRL APT 522 |
City | FORT WORTH |
State | TX |
Zip Code | 76120-7000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104328673 | Kushum Pokharel | Nurse Practitioner | 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120 | 2018-03-01 |
1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
1629475637 | Marklin Holdings Pllc | Dentist | 1476 Eastchase Pkwy, Fort Worth, TX 76120 | 2014-11-20 |
1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
1487677357 | Fine Spine LLC | Family Medicine | 709 East Loop 820, Fort Worth, TX 76120 | 2006-07-25 |
1720045784 | Josie Elizabeth Estes | Psychiatry & Neurology | 7525 John T White, Fort Worth, TX 76120 | 2006-04-26 |
1841271772 | Theresa Kellam | Psychologist | 2201 Dottie Lynn Parkway, Suite 127, Fort Worth, TX 76120 | 2005-11-08 |
1891208088 | Professional Ehc Eastchase LLC | Emergency Medicine | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-11-09 |
Find all providers in zip 76120 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134737448 | Jacqueline Marie Martinez | Specialist/Technologist | 1605 Grady Lee St, Fort Worth, TX 76134-1115 | 2020-07-22 |
1316571003 | Sharee Nicole Cupp | Specialist/Technologist | 6530 Hawks Creek Ct Ste 107, Fort Worth, TX 76114-1164 | 2020-03-03 |
1194370817 | Leslie Loredo | Specialist/Technologist | 5801 Winifred Dr, Fort Worth, TX 76133-2707 | 2019-08-08 |
1689156317 | Tiesha Jacquel Swanier | Specialist/Technologist | 3800 W Risinger Rd, Fort Worth, TX 76123-2346 | 2018-08-29 |
1316442916 | Keldra Warren | Specialist/Technologist | 6900 Bayberry Dr, Fort Worth, TX 76137-1740 | 2018-03-26 |
1245755438 | Felisa Lopez Martinez | Specialist/Technologist | 3103 Strong Ave, Fort Worth, TX 76105-3946 | 2017-08-08 |
1639547979 | Irene Belmontes | Specialist/Technologist | 1000 St. Louis, 102, Fort Worth, TX 76104 | 2015-09-03 |
1467713750 | Speech Divas | Specialist/Technologist | 4229 Periwinkle Dr, Fort Worth, TX 76137-3013 | 2012-06-03 |
1568665024 | Liliana Salgado | Specialist/Technologist | 3800 El Campo Ave, Fort Worth, TX 76107-4515 | 2007-06-11 |
1962615112 | Monica Davila | Specialist/Technologist | 10125 Star Fish St, Fort Worth, TX 76244-5844 | 2007-05-07 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76120 |
Please comment or provide details below to improve the information on AUTUMN KELSEY LEE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.