Active NPI
Melanie Cohen Lee, LPN
- Licensed Practical Nurse
- Elyria, OH
National Provider Identifier
1447828363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN111861
- Practice address
- 174 Midway Blvd
Elyria, OH 44035-2786 - Phone
- (440) 723-8997
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN111861 | OH | Primary |
Addresses
Primary practice location
174 Midway Blvd
Elyria, OH 44035-2786
Mailing address
88 Parkwood LN
Oberlin, OH 44074-1434
Phone (440) 574-3412
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 440-723-8997 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN111861 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Treatment Centers Oh-VII, LLC | Current | Accepting new patients |
Locations
174 Midway Blvd
Elyria, OH 44035
Phone (440) 324-5199
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Elyria, OH
- NPI 1295382646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1447828363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 PARKWOOD LN",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741434",
"telephone_number": "440-574-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 MIDWAY BLVD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352786",
"telephone_number": "440-723-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MELANIE",
"middle_name": "COHEN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN111861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "440-723-8997",
"affiliation": "N",
"endpointDescription": "phone",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "phone",
"address_1": "174 Midway Blvd",
"city": "Elyria",
"state": "OH",
"country_code": "US",
"postal_code": "440352786",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.