Organization Active NPI

Health Wisdom Inc

Doing business as Kam Lee Acupuncture

  • Acupuncturist
  • Fleming Island, FL
National Provider Identifier
1013030493
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP578 Issued in FL
Legal business name
HEALTH WISDOM INC
Doing business as
Kam Lee Acupuncture
Practice address
1835 Eastwest Pkwy
Ste 5
Fleming Island, FL 32003-6336
Phone
(904) 215-6111
NPI assigned
Apr 9, 2007
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kam P Lee, AP
Title
President
Phone
(904) 215-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP578 FL Primary

Addresses

Primary practice location

1835 Eastwest Pkwy
Ste 5
Fleming Island, FL 32003-6336

Mailing address

1835 Eastwest Pkwy
Ste 5
Fleming Island, FL 32003-6336
Phone (904) 215-6111

Other names 1

  • Kam Lee Acupuncture Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512001604 FL Part B Supplier - Clinic/Group Practice 9436484342 Receives reassigned benefits from 1 practitioner
Practice locations: Fleming Island, FL

National Provider Directory

National Provider Directory

Locations

1835 Eastwest Pkwy
Ste 5
Fleming Isle, FL 32003
Phone (904) 215-6111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1013030493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 EASTWEST PKWY",
            "address_2": "STE 5",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036336",
            "telephone_number": "904-215-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EASTWEST PKWY",
            "address_2": "STE 5",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036336",
            "telephone_number": "904-215-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WISDOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-215-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kam Lee Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.