Active NPI
Jillian Lee
- Athletic Trainer
- Wolfe City, TX
National Provider Identifier
1386194835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 8353 TX-34
Wolfe City, TX 75496 - Phone
- (443) 939-5522
- NPI assigned
- Oct 8, 2016
- Last updated
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
8353 TX-34
Wolfe City, TX 75496
Mailing address
2436 Barclay St
Baltimore, MD 21218-5326
Phone (443) 939-5522
Other practice location 1
1675 NE Loop 286
Paris, TX 75460-2219
Phone (443) 939-5522
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1386194835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 BARCLAY ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185326",
"telephone_number": "443-939-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8353 TX-34",
"city": "WOLFE CITY",
"state": "TX",
"postal_code": "75496",
"telephone_number": "443-939-5522"
}
],
"practiceLocations": [
{
"address_1": "1675 NE Loop 286",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TX",
"postal_code": "754602219",
"country_code": "US",
"telephone_number": "443-939-5522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-08",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wolfe City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.