Individual provider Active NPI

Elane Dorothy Lee, NP

  • Family Nurse Practitioner
  • Andover, MA
National Provider Identifier
1821131749
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
163601 Issued in MA
Practice address
57 River Rd
Andover, MA 01810-1144
Phone
(978) 683-3491
Fax
(978) 683-3472
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 163601 MA Primary

Addresses

Primary practice location

57 River Rd
Andover, MA 01810-1144

Mailing address

57 River Rd
Andover, MA 01810-1144
Phone (978) 683-3491

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
I20070425000261 MA Practitioner - Nurse Practitioner 2860597515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163601MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lawrence Family Health Center Inc. CurrentSince Jun 24, 2009 Accepting new patients
Greater Lawrence Family Health Center, Inc. Current Accepting new patients
Greater Lawrence Family Health Center Inc CurrentSince Jun 24, 2009 Accepting new patients

Locations

57 River Rd
Andover, MA 01810
Phone (978) 686-0194

150 Park St
Lawrence, MA 01841
Phone (978) 685-1770

34 Haverhill St
Lawrence, MA 01841

Organizations & group practices 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1821131749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101144",
            "telephone_number": "978-683-3491",
            "fax_number": "978-683-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101144",
            "telephone_number": "978-683-3491",
            "fax_number": "978-683-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELANE",
        "middle_name": "DOROTHY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "163601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.