Individual provider Active NPI

Jo-Ann E Lee, NP

  • Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1821068354
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
127382 Issued in MA
Practice address
51 Performance Drive
Suite 300
Weymouth, MA 02189-1650
Phone
(781) 337-5555
Fax
(781) 335-6047
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 127382 MA Primary

Addresses

Primary practice location

51 Performance Drive
Suite 300
Weymouth, MA 02189-1650

Mailing address

51 Performance Dr
Suite300
Weymouth, MA 02189-3141
Phone (617) 243-9552

Other identifiers 1

IdentifierTypeStateIssuer
NP3917OtherMABLUE SHIELD OF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000319 MA Practitioner - Nurse Practitioner 4587697784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
127382MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jul 1, 2011 Accepting new patients

Locations

2000 Washington St
Ste 361
Newton Lower Falls, MA 02462
Phone (617) 243-5155

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1821068354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PERFORMANCE DR",
            "address_2": "SUITE300",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893141",
            "telephone_number": "617-243-9552",
            "fax_number": "617-243-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PERFORMANCE DRIVE",
            "address_2": "SUITE 300",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891650",
            "telephone_number": "781-337-5555",
            "fax_number": "781-335-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JO-ANN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "127382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "NP3917",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.