Active NPI
Kate Jihee Lee, PA-C
- Physician Assistant
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-006746
- Practice address
- 4379 Ridgewood Center Dr Ste 102
Woodbridge, VA 22192-8323 - Phone
- (703) 680-7950
- NPI assigned
- Jun 25, 2019
- Last updated
- Jul 24, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-006746 | VA | Primary |
Addresses
Primary practice location
4379 Ridgewood Center Dr Ste 102
Woodbridge, VA 22192-8323
Mailing address
4379 Ridgewood Center Dr Ste 102
Woodbridge, VA 22192-8323
Phone (703) 475-0382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Pennsylvania State University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Boulders Pkwy
North Chesterfield, VA 23225-4067
12216 W Broad St
Suite 4B 5
Henrico, VA 23233-1062
Phone (804) 440-4878
15564 Westchester Commons Way
Midlothian, VA 23113-7321
Phone (804) 440-4878
8901 Three Chopt Rd
Suite D
Richmond, VA 23229-4643
Phone (804) 440-4878
9369 Atlee Rd
Suite 3107
Mechanicsville, VA 23116-2400
Phone (804) 440-4878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-006746 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| Greater Prince William Area Community Health Center Inc | Current | Accepting new patients | |
| Orthovirginia, Inc. | Physician Assistant | Current | Accepting new patients |
| Orthovirginia, Inc. | Past | Accepting new patients |
Locations
9705 Liberia Ave
Ste 201
Manassas, VA 20110
Phone (703) 519-1725
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
8901 Three Chopt Rd
Ste D
Richmond, VA 23229
Phone (804) 440-4878
3350 Commission Ct
Woodbridge, VA 22192
Phone (703) 680-7950
4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192
Phone (703) 680-7950
Interoperability endpoints
- klee37054@direct.orthovirginia.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
dba Lunera Health
- Federally Qualified Health Center (FQHC)
- Woodbridge, VA
- NPI 1366591562
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1487838652
-
dba Greater Prince William Community Health Center
- Federally Qualified Health Center (FQHC)
- Manassas, VA
- NPI 1750263422
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- Christiansburg, VA
- NPI 1831751148
Physician Assistant
-
dba West End Orthopaedic Clinic, Inc
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1407417033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4379 RIDGEWOOD CENTER DR STE 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928323",
"telephone_number": "703-475-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4379 RIDGEWOOD CENTER DR STE 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928323",
"telephone_number": "703-680-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATE",
"middle_name": "JIHEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-006746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- 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.