Clara Lee

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9111729 Issued in FL

Practice address

7901 Ron Beatty Blvd
Sebastian, FL 32976

Phone

(772) 664-8171

NPI assigned

Jun 27, 2018

Last updated

Jun 10, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Edgar R Blecker MD PA

  • Internal Medicine Physician
  • Sebastian, FL
  • NPI 1871528562
  Medicare reassignment

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1346735727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 RON BEATTY BLVD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329767472",
            "telephone_number": "772-664-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 RON BEATTY BLVD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32976",
            "telephone_number": "772-664-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Sebastian Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329584616",
            "country_code": "US",
            "telephone_number": "772-581-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Laviska, PHARMD
• Connie Lawrence-Willis, O.D.
• Mary Louise Layton, ARNP-C
• Michael Alan Layton, MD
• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surq)
• Danielle Lee
• Monica Leppma
• Charles Howard Lind, RPH.
• Lisa R Anthony MD PA
• Diana Lynn Littleton, RPH

• Medical Physician Assistant in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.