Active NPI
Stephanie Lee, PA
- Physician Assistant
- Lexington, KY
National Provider Identifier
1700517422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3225
- Practice address
- 800 Rose St FL 2
Lexington, KY 40536-8274 - Phone
- (859) 562-1085
- Fax
- (859) 257-5152
- NPI assigned
- Jun 22, 2022
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC394 | KY | |
| Medical Physician Assistant | 363AM0700X | TC394 | KY | |
| Medical Physician Assistant | 363AM0700X | PA3225 | KY | |
| Surgical Physician Assistant | 363AS0400X | TC394 | KY | |
| Surgical Physician Assistant | 363AS0400X | PA3225 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA3225 | KY | Primary |
Addresses
Primary practice location
800 Rose St FL 2
Lexington, KY 40536-8274
Mailing address
PO Box 159
Wingate, NC 28174-0159
Phone (704) 233-8051
Other practice location 1
515 N Main St
Wingate, NC 28174-8274
Phone (704) 233-8051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC394 | KY | MD | Physician Assistant |
| PA3225 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
800 Rose St
Fl 2
Lexington, KY 40536
Phone (859) 257-4488
Interoperability endpoints
- slee311116@ukhcdirect.org
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1700517422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "WINGATE",
"state": "NC",
"postal_code": "281740159",
"telephone_number": "704-233-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST FL 2",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405368274",
"telephone_number": "859-562-1085",
"fax_number": "859-257-5152"
}
],
"practiceLocations": [
{
"address_1": "515 N Main St",
"address_purpose": "LOCATION",
"city": "Wingate",
"state": "NC",
"postal_code": "281748274",
"country_code": "US",
"telephone_number": "704-233-8051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "STEPHANIE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC394",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "TC394",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA3225",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "TC394",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA3225",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.