Active NPI
Joyce Elaine Lee, PA C
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1104888320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 56
- Practice address
- 1633 Medical Center Point
Colorado Springs, CO 80907 - Phone
- (719) 636-2999
- Fax
- (719) 667-4108
- NPI assigned
- Apr 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 425 | MT | |
| Physician Assistant | 363A00000X | 56 | CO | Primary |
Addresses
Primary practice location
1633 Medical Center Point
Colorado Springs, CO 80907
Mailing address
2 South Cascade Avenue
Suite 140
Colorado Springs, CO 80603-1604
Phone (719) 538-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40853381 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 425 | MT | MD | Occupational Therapist |
| 56 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flatirons Family Practice Inc | Past | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Broomfield, CO
- NPI 1609802982
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1104888320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SOUTH CASCADE AVENUE",
"address_2": "SUITE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "806031604",
"telephone_number": "719-538-2900",
"fax_number": "719-538-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 MEDICAL CENTER POINT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-636-2999",
"fax_number": "719-667-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOYCE",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "425",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "56",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40853381",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.