Individual provider Active NPI

Ira Lee, NP

  • Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1689654584
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3091702 Issued in FL
Practice address
777 W Duval St
Lake City, FL 32055-5806
Phone
(386) 755-3300
Fax
(386) 755-8595
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3091702 FL Primary

Addresses

Primary practice location

777 W Duval St
Lake City, FL 32055-5806

Mailing address

777 W Duval St
Lake City, FL 32055-5806
Phone (386) 755-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3091702FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpata Inpatient Services LLC Past Accepting new patients
Ipn Emergency Physicians of North Florida PA Nurse Practitioner Past Accepting new patients
Medlink Management Services Inc Past Accepting new patients
North Florida Emergency Physicians Past Accepting new patients

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1689654584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555806",
            "telephone_number": "386-755-3300",
            "fax_number": "386-755-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555806",
            "telephone_number": "386-755-3300",
            "fax_number": "386-755-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "IRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3091702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.