Jillian Lee

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12625 Page Hill CT
Fort Wayne, IN 46818-0012

Phone

(260) 348-4738

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breaking Barriers Case Management

  • Social Worker
  • Fort Wayne, IN
  • NPI 1669068441
  NPD
• Aspire Attendant Care LLC

  • Personal Care Attendant
  • Fort Wayne, IN
  • NPI 1194668764
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1336893569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 PAGE HILL CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468180012",
            "telephone_number": "260-348-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 PAGE HILL CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468180012",
            "telephone_number": "260-348-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JILLIAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "endpointDescription": "N/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N.a",
            "address_1": "12625 Page Hill Ct",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468180012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Britini Danial Lee
• Chung Seng Lee, M.D.
• Daria B. Lee, M.D.
• Ford W. Lee, NP
• Jared Lee
• Jonathan C Lee, M.D.
• Michael D Lee, MD
• Rebecca L Lee, PHARM.D
• Samuel Lee, DO
• Shuishih Sage Lee

• Case Manager/Care Coordinator in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.