Monterry Shatrae Lee

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1201110397 Issued in VA

Practice address

5 Holly Hill Dr
Petersburg, VA 23805-2559

Phone

(804) 605-1566

Fax

(804) 835-9678

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1174137988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LOCK LN",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052543",
            "telephone_number": "804-605-1566",
            "fax_number": "804-835-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOLLY HILL DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052559",
            "telephone_number": "804-605-1566",
            "fax_number": "804-835-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MONTERRY",
        "middle_name": "SHATRAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "VA",
            "license": "1201110397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thu Le
• Leap of Faith Adult Services LLC
• Shani Gabrielle Lee-Johnson, R.N.
• Ashley Jihui Lee
• Gernita Lazale Lee, D.N.P.
• Shayna Lee
• Thomas Felix Lee, RPH
• Young Lee, M.D.
• Legacy Eye Care
• Angela Lynne Legrande, LPC, CPSC

• Prosthetics Case Management in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Prosthetics Case Management in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.