Active NPI
Kendall Jackson Lee
- Homemaker
- Westerville, OH
National Provider Identifier
1699542316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- VH6777536
- Practice address
- 6690 Inverness St
Westerville, OH 43082-7742 - Phone
- (717) 991-8363
- NPI assigned
- Dec 4, 2023
- Last updated
- Dec 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | VH6777536 | OH | Primary |
Addresses
Primary practice location
6690 Inverness St
Westerville, OH 43082-7742
Mailing address
847 Westray Dr
Westerville, OH 43081-3765
Phone (614) 869-7518
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 |
|---|---|---|---|
| VH6777536 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1699542316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 WESTRAY DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813765",
"telephone_number": "614-869-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6690 INVERNESS ST",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827742",
"telephone_number": "717-991-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KENDALL",
"middle_name": "JACKSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "VH6777536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.