Active NPI
Ju Di Lee, CRNA
- Certified Registered Nurse Anesthetist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2313601
- Practice address
- 800 Washington St
Boston, MA 02111-1552 - Phone
- (617) 636-5000
- NPI assigned
- Jun 20, 2017
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2313601 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111-1552
Mailing address
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3271
Other practice location 2
716 Stevens Ave
Portland, ME 04103-2656
Phone (207) 283-0171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110158030A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, HI
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2313601 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurant Anesthesia Associates Inc | Current | Accepting new patients | |
| Honolulu Spine Center, LLC | Current | Accepting new patients | |
| Pratt Anesthesiology Associates, Inc | Current | Accepting new patients | |
| Medstream Anesthesia Hawaii, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pacific Anesthesia, Inc | Current | Accepting new patients |
Locations
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557
500 Ala Moana Blvd
Ste 301
Honolulu, HI 96813
Phone (808) 237-2970
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Boston, MA
- NPI 1326085390
-
- Anesthesiology Physician
- Kailua Kona, HI
- NPI 1972215358
-
- Ambulatory Surgical Clinic/Center
- Honolulu, HI
- NPI 1093830325
-
- Anesthesiology Physician
- Kamuela, HI
- NPI 1346621190
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1538472451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682726400000",
"number": "1740710953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "716 Stevens Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041032656",
"country_code": "US",
"telephone_number": "207-283-0171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JU",
"middle_name": "DI",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2023-04-29",
"certification_date": "2023-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2313601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110158030A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.