Individual provider Active NPI

Doyle Lamont Lee

  • Peer Specialist
  • Lexington, KY
National Provider Identifier
1265155808
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1206981 Issued in KY
Practice address
1365 Devonport Dr
Lexington, KY 40504-1552
Phone
(859) 309-2240
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1206981 KY Primary

Addresses

Primary practice location

1365 Devonport Dr
Lexington, KY 40504-1552

Mailing address

229 Lakeside Dr
Georgetown, KY 40324-8926
Phone (859) 907-0731

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
1206981KYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracys Residential Re Entry Center Inc CurrentSince Oct 9, 2022 Accepting new patients

Locations

1365 Devonport Dr
Lexington, KY 40504
Phone (859) 229-8027

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1265155808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LAKESIDE DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248926",
            "telephone_number": "859-907-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 DEVONPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041552",
            "telephone_number": "859-309-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DOYLE",
        "middle_name": "LAMONT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1206981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.