Active NPI
Joseph Wayne Lee, LPN
- Licensed Practical Nurse
- La Junta, CO
National Provider Identifier
1548668593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN-0041039
- Practice address
- 1203 Holt LN
Lajunta, CO 81050 - Phone
- (719) 928-7115
- NPI assigned
- Dec 8, 2014
- Last updated
- Dec 8, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-0041039 | CO | Primary |
Addresses
Primary practice location
1203 Holt LN
Lajunta, CO 81050
Mailing address
1203 Holt LN
Lajunta, CO 81050
Phone (719) 928-7115
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 |
|---|---|---|---|
| PN-0041039 | CO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1548668593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 HOLT LN",
"city": "LAJUNTA",
"state": "CO",
"postal_code": "81050",
"telephone_number": "719-928-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 HOLT LN",
"city": "LAJUNTA",
"state": "CO",
"postal_code": "81050",
"telephone_number": "719-928-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOSEPH",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "PN-0041039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Junta, CO
- La Junta Health Service District (Bluestem Village)
- La Junta LTC Investors (Evergreen Gardens at La Junta)
- La Junta Rural Fire Protection District
- La Junta Rural Fire Protection District (La Junta Ambulance Service)
- Rosa Linda Lacy, DDS
- Lock Monkey Inc
- Loma Vista General & Family Practice PC
- Loma Vista General and Family Practice
- Loma Vista Surgery PC
- Kassidy Lynn Lotrich, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.