Tiesha Shante Lee

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

331451-1 Issued in NY

Practice address

91 Hemlock Cir
Peekskill, NY 10566-4966

Phone

(914) 261-5306

NPI assigned

Nov 18, 2020

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1881297323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HEMLOCK CIR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 HEMLOCK CIR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664966",
            "telephone_number": "914-261-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TIESHA",
        "middle_name": "SHANTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lafortune-Remedor, CM
• Lauren Laguna Ryan, LCSW
• Pamela Lynn Lambert
• Elizabeth Lazo, LMT
• Michael W Lee, PHARMD
• Kelly Lefevre-Smith
• Tesfa Legair
• Amy B. Levin, M.H.C.,CASAC
• Lexington Center for Recovery, Inc.
• Kyle Lia, PEER SPECIALIST

• Licensed Practical Nurse in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.