Active NPI
Janice Renae Lee, DO
- Family Medicine Physician
- Salem, NH
National Provider Identifier
1831117829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16317
- Practice address
- 31 Stiles Rd
Suite 2100
Salem, NH 03079-2897 - Phone
- (603) 894-0500
- Fax
- (603) 894-0535
- NPI assigned
- Jul 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1680 | ME | |
| Family Medicine Physician | 207Q00000X | 16317 | NH | Primary |
Addresses
Primary practice location
31 Stiles Rd
Suite 2100
Salem, NH 03079-2897
Mailing address
31 Stiles Rd
Suite 2100
Salem, NH 03079-2897
Phone (603) 894-0500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01287452 | Other | NH | RAILROAD MEDICARE |
| 3091343 | Medicaid | NH | |
| 1831117829 | Other | ME | NPI |
Other names 1
- Janice Renae Mancotte
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Community Family Health Center, Inc. | 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.
-
- Rural Health Clinic/Center
- Rumford, ME
- NPI 1578599775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1831117829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 STILES RD",
"address_2": "SUITE 2100",
"city": "SALEM",
"state": "NH",
"postal_code": "030792897",
"telephone_number": "603-894-0500",
"fax_number": "603-894-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 STILES RD",
"address_2": "SUITE 2100",
"city": "SALEM",
"state": "NH",
"postal_code": "030792897",
"telephone_number": "603-894-0500",
"fax_number": "603-894-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JANICE",
"middle_name": "RENAE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1680",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "16317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01287452",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3091343",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1831117829",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "MANCOTTE",
"middle_name": "RENAE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.