Individual provider Active NPI

Juliann J Lee, CPM, LMW, PHD, R-DHM

  • Midwife
  • Irmo, SC
National Provider Identifier
1235678673
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LMW-0116 Issued in SC
Practice address
800 Columbiana Dr Ste 116
Irmo, SC 29063-7782
Phone
(803) 567-3661
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Paramedic 146L00000X 024781 SC
Health Educator 174H00000X
Doula 374J00000X
Midwife 176B00000X LMW-0116 SC Primary

Addresses

Primary practice location

800 Columbiana Dr Ste 116
Irmo, SC 29063-7782

Mailing address

339 Deertrack Run
Lexington, SC 29073-6502
Phone (803) 567-3661

Other names 1

  • Juliann Danielle Jernigan Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
024781SCMDParamedic
LMW-0116SCMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1235678673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 DEERTRACK RUN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736502",
            "telephone_number": "803-567-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLUMBIANA DR STE 116",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637782",
            "telephone_number": "803-567-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIANN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "CPM, LMW, PHD, R-DHM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "024781",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "LMW-0116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANN",
            "last_name": "JERNIGAN",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.