Individual provider Active NPI

Katie Christine Lee, M.D.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1801290457
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
55883 Issued in AZ
Practice address
9610 N Metro Pkwy W
Phoenix, AZ 85051-1402
Phone
(480) 964-2273
Fax
(028) 431-5606
NPI assigned
Oct 10, 2014
Last updated
Apr 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 55883 AZ Primary
Obstetrics & Gynecology Physician 207V00000X MT207612 PA

Addresses

Primary practice location

9610 N Metro Pkwy W
Phoenix, AZ 85051-1402

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4670

Other practice location 2

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone (928) 522-9400

Other names 1

  • Katie Christine Lee Lauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905003057 AZ Practitioner - Obstetrics/Gynecology 3577813955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Phone (877) 809-5092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55883AZMDObstetrics & Gynecology Physician
MT207612PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Current Accepting new patients
Adelante Healthcare, Inc CurrentSince May 8, 2023 Accepting new patients
Adelante Healthcare, Inc. Family Medicine CurrentSince May 8, 2023 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Jun 8, 2022 Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Adelante Healthcare, Inc. Family Medicine Past Accepting new patients

Locations

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone (844) 551-6691

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 618-0002

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1801290457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001",
            "fax_number": "623-974-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 N METRO PKWY W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511402",
            "telephone_number": "480-964-2273",
            "fax_number": "028-431-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-4670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860041816",
            "country_code": "US",
            "telephone_number": "928-522-9400",
            "fax_number": "928-774-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "55883",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT207612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LEE LAUER",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.