Individual provider Active NPI

Lori A. Lee, DNP

  • Family Nurse Practitioner
  • Ridgeland, SC
National Provider Identifier
1417355108
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18996 Issued in SC
Practice address
1520 Grays Hwy
Ridgeland, SC 29936-5440
Phone
(843) 726-3979
NPI assigned
Dec 11, 2014
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18996 SC Primary

Addresses

Primary practice location

1520 Grays Hwy
Ridgeland, SC 29936-5440

Mailing address

PO Box 118008
North Charleston, SC 29423-8008
Phone (843) 820-3311

Other practice location 1

300 Maple St W
Hampton, SC 29924-3238
Phone (803) 943-3813

Other practice location 2

719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone (843) 987-7400

Other practice location 3

2210 Mossy Oaks Rd
Port Royal, SC 29935-1046
Phone (843) 987-7400

Other identifiers 1

IdentifierTypeStateIssuer
NP3060MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128001909 SC Practitioner - Nurse Practitioner 6901120658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Apr 23, 2016 Accepting new patients
Beaufort-Jasper-Hampton Comprehensive Health Service Inc Past Accepting new patients

Locations

719 Okatie Hwy
Okatie, SC 29909

721 Okatie Hwy
Okatie, SC 29909

721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1417355108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118008",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294238008",
            "telephone_number": "843-820-3311",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GRAYS HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365440",
            "telephone_number": "843-726-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Maple St W",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299243238",
            "country_code": "US",
            "telephone_number": "803-943-3813",
            "fax_number": "803-943-5971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Okatie Hwy # 170",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299093963",
            "country_code": "US",
            "telephone_number": "843-987-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 Mossy Oaks Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299351046",
            "country_code": "US",
            "telephone_number": "843-987-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LORI",
        "middle_name": "A.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3060",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

Verify at the official NPI Registry.