Denzell Lee

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

262 Mallard Point Dr Apt 104
Coventry Township, OH 44319-5750

Phone

(216) 630-0858

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1043928401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MALLARD POINT DR APT 104",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443195750",
            "telephone_number": "216-630-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MALLARD POINT DR APT 104",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443195750",
            "telephone_number": "216-630-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DENZELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KJC Legacy LLC
• KJC Legacy LLC
• Mary Ann Kovalchin, RN
• Kelly Lamp, RN
• Elizabeth Faye Langford, RN
• Ralph Lee, PRS004780
• Alexandrea Lemaster
• Breanna Lord
• Harry D Lowers, LPCC-S, LICDC-CS
• Kyle Luckie

• Case Manager/Care Coordinator in Coventry Township, OH
• Providers in Coventry Township, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.