Lee Jackson Enterprises

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

LEE JACKSON ENTERPRISES

Practice address

3626 N Hall St Ste 610
Dallas, TX 75219-5131

Phone

(866) 301-1456

Fax

(469) 898-6344

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Nikia Autry, NIKIA A AUTRY

Title

Managing Member

Phone

(866) 301-1456

Specialties & licenses 4

Addresses

Practitioners 1

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

• Nikia a Autry

  • Phlebotomy Technician
  • Dallas, TX
  • NPI 1992275770

  Prosthetics Case Management

  NPD

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1437877362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "866-301-1456",
            "fax_number": "469-898-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "866-301-1456",
            "fax_number": "469-898-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE JACKSON ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "AUTRY",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "866-301-1456",
        "authorized_official_credential": "NIKIA A AUTRY"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Ledesma
• Jorge Ledezma, PA-C
• Ryan Leigh Ledezma
• Erik O Ledig, MD
• Lee Ann Pearse, M.D., P.a.
• Lee Jin Company, Inc.
• Jayln Lee-Edoh
• Krystal Avery Lee-Tanihu, PHARMD
• Alan Kenneth Lee II, DDS
• Alexander Lee, M.D.

• Phlebotomy Technician in Dallas, TX
• Providers in Dallas, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.