NPIMap

Organization Active NPI

Dr. Heather K. Lee, D.O., PLLC

  • Specialist
  • Traverse City, MI
National Provider Identifier
1497070502
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5101016066 Issued in MI
Legal business name
DR. HEATHER K. LEE, D.O., PLLC
Practice address
3537 W Front St Ste a
Traverse City, MI 49684-7942
Phone
(231) 935-9700
Fax
(231) 935-9706
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Heather K Lee, D.O.
Title
Owner
Phone
(231) 935-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5101016066 MI Primary

Addresses

Primary practice location

3537 W Front St Ste a
Traverse City, MI 49684-7942

Mailing address

3537 W Front St Ste a
Traverse City, MI 49684-7942
Phone (231) 935-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1497070502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847942",
            "telephone_number": "231-935-9700",
            "fax_number": "231-935-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847942",
            "telephone_number": "231-935-9700",
            "fax_number": "231-935-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HEATHER K. LEE, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-9700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101016066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.