Active NPI
Catherine Lee, PA-C
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1225512171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA062418
- Practice address
- 2300 S Broad St Ste 205
Philadelphia, PA 19145-4462 - Phone
- (833) 505-4673
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | MA062418 | PA | Primary |
Addresses
Primary practice location
2300 S Broad St Ste 205
Philadelphia, PA 19145-4462
Mailing address
325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 744-3074
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062418 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1225512171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S BROAD ST STE 205",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454462",
"telephone_number": "833-505-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA062418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.