Active NPI
Julie Lee, DPM
- Podiatrist
- Worcester, MA
National Provider Identifier
1558514315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2315
- Practice address
- 377 Plantation St
Worcester, MA 01605-2245 - Phone
- (972) 399-9280
- NPI assigned
- Oct 24, 2008
- Last updated
- Nov 24, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1108 | NV | |
| Podiatrist | 213E00000X | 1873 | TX | |
| Podiatrist | 213E00000X | 2315 | MA | Primary |
Addresses
Primary practice location
377 Plantation St
Worcester, MA 01605-2245
Mailing address
Cboc-WPS
377 Plantation St.
Worcester, MA 01605
Phone (413) 584-4040
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013328 | Medicaid | TX | |
| 201332806 | Medicaid | TX | |
| P01192557 | Other | TX | RAILROAD MEDICARE |
| 201332804 | Medicaid | TX | |
| 201332807 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1558514315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CBOC-WPS",
"address_2": "377 PLANTATION ST.",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "413-584-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052245",
"telephone_number": "972-399-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JULIE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "1108",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1873",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013328",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201332806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01192557",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201332804",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201332807",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.