Active NPI
Amanda Zhou Lee, L.AC
- Acupuncturist
- Santa Rosa, CA
National Provider Identifier
1295286441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17168
- Practice address
- 966 Sonoma Ave
Santa Rosa, CA 95404-4814 - Phone
- (707) 849-4469
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17168 | CA | Primary |
Addresses
Primary practice location
966 Sonoma Ave
Santa Rosa, CA 95404-4814
Mailing address
2777 Yulupa Ave
Ste 291
Santa Rosa, CA 95405-8584
Phone (707) 849-4469
Other names 1
- Zhouie Lee
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 |
|---|---|---|---|
| AC17168 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1295286441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 YULUPA AVE",
"address_2": "STE 291",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954058584",
"telephone_number": "707-849-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044814",
"telephone_number": "707-849-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AMANDA",
"middle_name": "ZHOU",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZHOUIE",
"last_name": "LEE",
"credential": "L.AC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.