Active NPI
Jeremiah Lee
- Pulmonary Rehabilitation Certified Respiratory Therapist
- Laconia, NH
National Provider Identifier
1295220796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Certified Respiratory Therapist
- License
- 1432
- Practice address
- 175 Blueberry LN
Laconia, NH 03246-2918 - Phone
- (603) 524-3340
- NPI assigned
- Jun 27, 2018
- Last updated
- Jun 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Rehabilitation Certified Respiratory Therapist | 2278P1005X | 1432 | NH | Primary |
Addresses
Primary practice location
175 Blueberry LN
Laconia, NH 03246-2918
Mailing address
131 Lake Street
Apt. 216
Gilford, NH 03249
Phone (951) 323-8234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1432 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1295220796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 LAKE STREET",
"address_2": "APT. 216",
"city": "GILFORD",
"state": "NH",
"postal_code": "03249",
"telephone_number": "951-323-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 BLUEBERRY LN",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462918",
"telephone_number": "603-524-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JEREMIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2278P1005X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
"state": "NH",
"license": "1432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.