Active NPI
Tracy Sue Lee
- Homemaker
- Wapakoneta, OH
National Provider Identifier
1538833405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 0200040
- Practice address
- 324 Stinebaugh Dr
Wapakoneta, OH 45895-1242 - Phone
- (419) 296-5878
- NPI assigned
- Aug 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 0601021 | OH | |
| Homemaker | 376J00000X | 0200040 | OH | Primary |
Addresses
Primary practice location
324 Stinebaugh Dr
Wapakoneta, OH 45895-1242
Mailing address
324 Stinebaugh Dr
Wapakoneta, OH 45895-1242
Phone (419) 296-5878
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 |
|---|---|---|---|
| 0200040 | OH | MD | Homemaker |
| 0601021 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1538833405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 STINEBAUGH DR",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458951242",
"telephone_number": "419-296-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 STINEBAUGH DR",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458951242",
"telephone_number": "419-296-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TRACY",
"middle_name": "SUE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "0601021",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "0200040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.