Active NPI
Josephine Yickfong Lee, DC
- Nutrition Chiropractor
- Chesterfield, MO
National Provider Identifier
1710162037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2004008741
- Practice address
- 14805 Clayton Rd
Chesterfield, MO 63017-7881 - Phone
- (636) 386-3333
- Fax
- (636) 527-2570
- NPI assigned
- Jan 5, 2008
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2004008741 | MO | Primary |
Addresses
Primary practice location
14805 Clayton Rd
Chesterfield, MO 63017-7881
Mailing address
14805 Clayton Rd
Chesterfield, MO 63017-7881
Phone (636) 386-3333
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 |
|---|---|---|---|
| 2004008741 | MO | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutra, LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199491200000",
"number": "1710162037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 CLAYTON RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630177881",
"telephone_number": "636-386-3333",
"fax_number": "636-527-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14805 CLAYTON RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630177881",
"telephone_number": "636-386-3333",
"fax_number": "636-527-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOSEPHINE",
"middle_name": "YICKFONG",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-05",
"last_updated": "2008-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MO",
"license": "2004008741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.