Active NPI
Elizabeth Lee Lemke, P.A.
- Psychiatric/Mental Health Nurse Practitioner
- Fishkill, NY
National Provider Identifier
1730412784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 001360
- Practice address
- 400 Westage Business Ctr Dr Ste 205
Fishkill, NY 12524-2266 - Phone
- (845) 231-0321
- NPI assigned
- Sep 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001360 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 001360 | NY | Primary |
Addresses
Primary practice location
400 Westage Business Ctr Dr Ste 205
Fishkill, NY 12524-2266
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Other practice location 1
241 North Rd
the turning point
Poughkeepsie, NY 12601-1154
Phone (845) 483-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03831358 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|
| 001360 | NY | MD | Medical Physician Assistant |
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1700979507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1730412784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "845-279-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTAGE BUSINESS CTR DR STE 205",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242266",
"telephone_number": "845-231-0321"
}
],
"practiceLocations": [
{
"address_1": "241 North Rd",
"address_2": "the turning point",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126011154",
"country_code": "US",
"telephone_number": "845-483-5100",
"fax_number": "845-483-5433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMKE",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "001360",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "001360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03831358",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.