Active NPI
Grace Kim Lee
- Home Health Aide
- Columbus, OH
National Provider Identifier
1518791433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2000 Braemar Dr
Columbus, OH 43220-3026 - Phone
- (614) 271-2810
- NPI assigned
- Sep 2, 2024
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2000 Braemar Dr
Columbus, OH 43220-3026
Mailing address
2000 Braemar Dr
Columbus, OH 43220-3026
Phone (614) 271-2810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518791433 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1518791433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 BRAEMAR DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203026",
"telephone_number": "614-271-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BRAEMAR DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203026",
"telephone_number": "614-271-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GRACE",
"middle_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518791433",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.