Active NPI
Michelle Lee
- Developmental Therapist
- Aspen, CO
National Provider Identifier
1104187723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 3413
- Practice address
- 355 N Mill St
Apt 311
Aspen, CO 81611-1556 - Phone
- (310) 927-2348
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 3413 | CO | Primary |
Addresses
Primary practice location
355 N Mill St
Apt 311
Aspen, CO 81611-1556
Mailing address
355 N Mill St
Apt 311
Aspen, CO 81611-1556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3413 | Other | CO | COLORADO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3413 | CO | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1104187723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 N MILL ST",
"address_2": "APT 311",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 N MILL ST",
"address_2": "APT 311",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111556",
"telephone_number": "310-927-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "CO",
"license": "3413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO",
"identifier": "3413",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.