Active NPI
Chelsie Marie Lee
- Medical Laboratory Technician
- Bonaire, GA
National Provider Identifier
1700235736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- License
- 248990
- Practice address
- 307 Sandy Run Rd
Bonaire, GA 31005-4703 - Phone
- (231) 409-2400
- NPI assigned
- Jun 9, 2016
- Last updated
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 248990 | AL | Primary |
Addresses
Primary practice location
307 Sandy Run Rd
Bonaire, GA 31005-4703
Mailing address
307 Sandy Run Rd
Bonaire, GA 31005-4703
Phone (231) 409-2400
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 |
|---|---|---|---|
| 248990 | AL | MD | Medical Laboratory Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1700235736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 SANDY RUN RD",
"city": "BONAIRE",
"state": "GA",
"postal_code": "310054703",
"telephone_number": "231-409-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 SANDY RUN RD",
"city": "BONAIRE",
"state": "GA",
"postal_code": "310054703",
"telephone_number": "231-409-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHELSIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "AL",
"license": "248990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonaire, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.