Organization Active NPI

Sasha Lee Inc

  • Primary Care Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1386219244
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SASHA LEE INC
Practice address
4966 Euclid Rd Ste 106
Virginia Beach, VA 23462-5834
Phone
(757) 679-0361
Fax
(757) 908-2223
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Sasha Lee, NURSE PRACTITIONERNPI 1942665054
Title
Nurse Practitioner/Owner
Phone
(757) 679-0361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4966 Euclid Rd Ste 106
Virginia Beach, VA 23462-5834

Mailing address

4966 Euclid Rd Ste 106
Virginia Beach, VA 23462-5834
Phone (757) 679-0361

Other names 1

  • Euclid Health and Wellness Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://static.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020001433 VA Part B Supplier - Clinic/Group Practice 9032507223 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2228098Sasha Lee Incorporation4966 Euclid Road, Suite 106, Virginia Beach, VA 23462Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Locations

4966 Euclid Rd
Ste 106
Virginia Beach, VA 23462
Phone (757) 679-0361

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1386219244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 EUCLID RD STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625834",
            "telephone_number": "757-679-0361",
            "fax_number": "757-908-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EUCLID RD STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625834",
            "telephone_number": "757-679-0361",
            "fax_number": "757-908-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA LEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "757-679-0361",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://static.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice fusion",
            "address_1": "4966 Euclid Rd Ste 106",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234625834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Euclid Health and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.