Active NPI
Lauren Lee
- Behavior Technician
- Gulfport, MS
National Provider Identifier
1760091995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-103765
- Practice address
- 15489 Dedeaux Rd
Gulfport, MS 39503-2667 - Phone
- (228) 357-5671
- NPI assigned
- Jul 23, 2020
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 19-103765 | MS | Primary |
Addresses
Primary practice location
15489 Dedeaux Rd
Gulfport, MS 39503-2667
Mailing address
15489 Dedeaux Rd
Gulfport, MS 39503-2667
Phone (228) 357-5671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802488417 | Other | MS | MS DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajones@gulfcoastedsolutions.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-103765 | MS | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Education Solutions | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1760091995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15489 DEDEAUX RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032667",
"telephone_number": "228-357-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15489 DEDEAUX RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032667",
"telephone_number": "228-357-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MS",
"license": "19-103765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS DRIVERS LICENSE",
"identifier": "802488417",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajones@gulfcoastedsolutions.com",
"affiliation": "N",
"endpointDescription": "Office email",
"address_1": "15489 Dedeaux Rd",
"city": "Gulfport",
"state": "MS",
"country_code": "US",
"postal_code": "395032667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.