Individual provider Active NPI

Demetrice Lashonda Lee, VOCATIONAL NURSE

  • Licensed Vocational Nurse
  • Los Angeles, CA
National Provider Identifier
1124864624
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
239570 Issued in CA
Practice address
138 W 60TH St # 918
Los Angeles, CA 90003-1114
Phone
(323) 906-6119
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 239570 CA Primary

Addresses

Primary practice location

138 W 60TH St # 918
Los Angeles, CA 90003-1114

Mailing address

138 W 60TH St # 918
Los Angeles, CA 90003-1114
Phone (323) 906-6119

Other names 1

  • Ms. Demetrice Lashonda Lee Professional name

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

LicenseStateTypeSpecialty
239570CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1124864624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W 60TH ST # 918",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031114",
            "telephone_number": "323-906-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 60TH ST # 918",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031114",
            "telephone_number": "323-906-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEMETRICE",
        "middle_name": "LASHONDA",
        "name_prefix": "Ms.",
        "credential": "VOCATIONAL NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "239570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRICE",
            "last_name": "LEE",
            "middle_name": "LASHONDA",
            "prefix": "MS.",
            "credential": "VOCATIONAL NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.