NPIMap

Individual provider Active NPI

Stephanie H Lee

  • Acupuncturist
  • Rancho Mirage, CA
National Provider Identifier
1205225539
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16316 Issued in CA
Practice address
40055 Bob Hope Dr Ste H
Rancho Mirage, CA 92270-3940
Phone
(760) 832-7585
Fax
(760) 832-7172
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC16316 CA Primary

Addresses

Primary practice location

40055 Bob Hope Dr Ste H
Rancho Mirage, CA 92270-3940

Mailing address

40055 Bob Hope Dr Ste H
Rancho Mirage, CA 92270-3940
Phone (760) 832-7585

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
AC16316CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Acupuncture and Healing, Inc. Acupuncturist Past Accepting new patients
Advanced Acupuncture & Wellness Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1205225539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40055 BOB HOPE DR STE H",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703940",
            "telephone_number": "760-832-7585",
            "fax_number": "760-832-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40055 BOB HOPE DR STE H",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703940",
            "telephone_number": "760-832-7585",
            "fax_number": "760-832-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.