Active NPI
Christopher John Lee, PA-C
- Physician Assistant
- St Johnsbury, VT
National Provider Identifier
1720466972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 055-0031277
- Practice address
- 1315 Hospital Dr
St Johnsbury, VT 05819-9210 - Phone
- (802) 748-8141
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1098 | NH | |
| Physician Assistant | 363A00000X | 055-0031277 | VT | Primary |
Addresses
Primary practice location
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Mailing address
PO Box 905
NVRH Surgical Group
St Johnsbury, VT 05819-0905
Phone (802) 748-8141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3102435 | Medicaid | NH |
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1720466972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"address_2": "NVRH SURGICAL GROUP",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058190905",
"telephone_number": "802-748-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 HOSPITAL DR",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058199210",
"telephone_number": "802-748-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1098",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0031277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3102435",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.