Active NPI
Yoomi Lee
- Gerontology Nurse Practitioner
- Colebrook, NH
National Provider Identifier
1497205884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 064054-23
- Practice address
- 141 Corliss LN
Colebrook, NH 03576-3206 - Phone
- (603) 237-8336
- Fax
- (603) 237-4467
- NPI assigned
- Oct 10, 2016
- Last updated
- Aug 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 064054-23 | NH | Primary |
| Registered Nurse | 163W00000X | 72982 | NE |
Addresses
Primary practice location
141 Corliss LN
Colebrook, NH 03576-3206
Mailing address
141 Corliss Lane
Colebrook, NH 03576-3206
Phone (603) 237-8336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201212000102 | NH | Order and Referring Only - Nurse Practitioner | 0648556696 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72982 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1497205884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CORLISS LANE",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763206",
"telephone_number": "603-237-8336",
"fax_number": "603-237-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 CORLISS LN",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763206",
"telephone_number": "603-237-8336",
"fax_number": "603-237-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOOMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NH",
"license": "064054-23",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "72982",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colebrook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.