Allison Ia Lee, NP
Individual provider Active NPI Family Nurse Practitioner · Henirco, VA
NPI 1134496672 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1134496672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024182569 (VA)
- Practice address
- 3214 Webb Road
Henirco, VA 23228 - Phone
- (828) 455-6177
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 400
Dallas, TX 75244-4910
4055 Valley View LN
Suite 400
Dallas, TX 75244-5071
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121119000012 | NC | Practitioner - Nurse Practitioner | 0143471268 | Reassigns benefits to 3 organizations |
| I20260327003003 | VA | Practitioner - Nurse Practitioner | 0143471268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182569 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current |
Accepting new patients | |
| DLP Frye Medical Group LLC | Current |
Accepting new patients | |
| Apogee Medical Group North Carolina | Current |
Accepting new patients |
Locations
415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
420 N Center St
Hickory, NC 28601
Phone (704) 660-4055
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182569 | VA | Yes |
Addresses
Primary practice location
3214 Webb Road
Henirco, VA 23228
Mailing address
620 Sandy Springs LN
Virginia Beach, VA 23452-3012
Phone (828) 455-6177
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.