Lee Anne Jackson, LPN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

056226 Issued in NC

Practice address

997 Old US Hwy 70
Suite a
Black Mountain, NC 28711

Phone

(828) 669-9704

Fax

(828) 669-7413

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16047/brand/1/csg/1/fhir/r4

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.

• East Asheville Family Health Care P.a.

  • Family Medicine Physician
  • Black Mountain, NC
  • NPI 1386682367
  NPD (past)
• Robert J Uhren MD PA

  • Family Medicine Physician
  • BLK MTN, NC
  • NPI 1093928350
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386654960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 OLD US HWY 70",
            "address_2": "SUITE A",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "828-669-9704",
            "fax_number": "828-669-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 OLD US HWY 70",
            "address_2": "SUITE A",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "828-669-9704",
            "fax_number": "828-669-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LEE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "056226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Taylor Houchens, M.S., LCMHC
• Timothy Clarence Icard, DPT
• Ingles Markets Inc (Ingles Pharmacy #008)
• Ingles Markets Inc
• Kevin Jackson
• Danielle Runne Jacoby
• James G. Halvorson (Halvorson Chiropractic Clinic)
• Robin Sims James, R.PH.
• Jonathan Jernigan
• Judith Lee Johannsen, LCSW, LCAS

• Family Medicine Physician in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.