Individual provider Active NPI

Elizabeth Dee, M.D.

  • Pediatrics Physician
  • Altamonte Springs, FL
National Provider Identifier
1184607269
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME105201 Issued in FL
Practice address
264 Douglas Ave
Altamonte Springs, FL 32714-3336
Phone
(407) 862-8311
Fax
(407) 862-8883
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036090305 IL
Pediatrics Physician 208000000X ME105201 FL Primary

Addresses

Primary practice location

264 Douglas Ave
Altamonte Springs, FL 32714-3336

Mailing address

264 Douglas Ave
Altamonte Springs, FL 32714-3336
Phone (407) 862-8377

Other identifiers 2

IdentifierTypeStateIssuer
001535900MedicaidFL
ME105201OtherFLME LICENSE

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME105201FLMDPediatrics Physician
036090305ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Dee, M.D., PLC Pediatrics Current Accepting new patients

Locations

264 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 862-8377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFBBA/Endpoint/EBFBBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1184607269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143336",
            "telephone_number": "407-862-8377",
            "fax_number": "407-862-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143336",
            "telephone_number": "407-862-8311",
            "fax_number": "407-862-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEE",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036090305",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001535900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "ME105201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.