Active NPI
Jessica L Lees, CRNA
- Certified Registered Nurse Anesthetist
- Ashtabula, OH
National Provider Identifier
1871588384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.00528-NA
- Practice address
- 2420 Lake Ave
Ashtabula, OH 44004-4954 - Phone
- (440) 997-2262
- NPI assigned
- Sep 12, 2005
- Last updated
- Nov 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA.00528-NA | OH | Primary |
Addresses
Primary practice location
2420 Lake Ave
Ashtabula, OH 44004-4954
Mailing address
PO Box 74751
Cleveland, OH 44194-0834
Phone (440) 997-2262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0775997 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19827 | OH | MD | General Practice Dentistry |
| COA.00528-NA | OH | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1871588384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74751",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940834",
"telephone_number": "440-997-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 LAKE AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044954",
"telephone_number": "440-997-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEES",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.00528-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0775997",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.