Khalia Shawnae Lee

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

033766 Issued in NY

Practice address

1326 Fulton Ave Apt 3B
Bronx, NY 10456-2409

Phone

(347) 734-0974

NPI assigned

Nov 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1801611827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 FULTON AVE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 FULTON AVE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562409",
            "telephone_number": "347-734-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KHALIA",
        "middle_name": "SHAWNAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "033766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kyoung-Jin Lee, D.D.S.
• Kay-Ann Phillipa Lee
• Kellie Ann Lee
• Kern Ho Lee, D.D.S..
• Kevin Lee, PHARMD
• Kiana Victoria Lee, MD
• Kunhee Lee
• Kwang Jae Lee, L.AC
• Kyoung Hee Lee, NP
• Kyuim Lee

• Massage Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.