Active NPI
Samantha Nedelman Lee, P.A.
- Physician Assistant
- Houston, TX
National Provider Identifier
1376832329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07142
- Practice address
- 7401 S. Main
Houston, TX 77030-4509 - Phone
- (713) 799-2300
- Fax
- (713) 794-3380
- NPI assigned
- Mar 30, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07142 | TX | Primary |
Addresses
Primary practice location
7401 S. Main
Houston, TX 77030-4509
Mailing address
7401 S. Main
Houston, TX 77030-4509
Phone (713) 799-2300
Other names 1
- Samantha Erin Nedelman
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1376832329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 S. MAIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 S. MAIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SAMANTHA",
"middle_name": "NEDELMAN",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "NEDELMAN",
"middle_name": "ERIN",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.