Noah Lees

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2901 W Winterberry LN
Peoria, IL 61604-1831

Phone

(309) 258-9682

NPI assigned

Apr 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1073257598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W WINTERBERRY LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041831",
            "telephone_number": "309-258-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W WINTERBERRY LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041831",
            "telephone_number": "309-258-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEES",
        "first_name": "NOAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunyang Lee, CRNA
• Thomas Gregory Lee, D.O.
• Vicki L Lee, P.T.
• Woo Yong Lee, M.D.
• Claire Leech
• Kristin N Leesman, PT
• Christopher Legan, LCPC
• Leone Legan, PSYD
• Michael John Legan, MS LCPC
• Tyler Legro, DO

• Athletic Trainer in Peoria, IL
• Providers in Peoria, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.