Individual provider Active NPI

Loree Elahee-Lee

  • Family Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1508094517
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10764 Issued in OH
Practice address
11134 Luschek Dr
Blue Ash, OH 45241
Phone
(513) 827-9273
Fax
(513) 818-9960
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.162670 OH
Family Nurse Practitioner 363LF0000X 10764 OH Primary

Addresses

Primary practice location

11134 Luschek Dr
Blue Ash, OH 45241

Mailing address

11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone (513) 827-9273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090811000046 OH Practitioner - Nurse Practitioner 1658425681 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LCDCIII.162670OHMDAddiction (Substance Use Disorder) Counselor
10764OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Apr 7, 2024 Accepting new patients
Exclusive Services CurrentSince Feb 9, 2019 Accepting new patients
Exclusive Services Addiction (Substance Use Disorder) CurrentSince Feb 9, 2019 Accepting new patients
CNP Operating Co LLC CurrentSince May 2, 2024 Accepting new patients

Locations

11134 Luschek Dr
Blue Ash, OH 45241
Phone (513) 827-9273

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1508094517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11134 LUSCHEK DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412434",
            "telephone_number": "513-827-9273",
            "fax_number": "513-818-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11134 LUSCHEK DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45241",
            "telephone_number": "513-827-9273",
            "fax_number": "513-818-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAHEE-LEE",
        "first_name": "LOREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162670",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.