Active NPI
Ji Hye Lee, NP
- Registered Nurse
- Medina, OH
National Provider Identifier
1881993707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN. 333897
- Practice address
- 970 E. Washington St. 2F
Medina, OH 44256-2181 - Phone
- (330) 723-7999
- NPI assigned
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN. 333897 | OH | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | COA. 12300-NP | OH |
Addresses
Primary practice location
970 E. Washington St. 2F
Medina, OH 44256-2181
Mailing address
970 E. Washington St. 2F
Medina, OH 44256-2181
Phone (330) 723-7999
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN. 333897 | OH | MD | Registered Nurse |
| COA. 12300-NP | OH | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1881993707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 E. WASHINGTON ST. 2F",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562181",
"telephone_number": "330-723-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 E. WASHINGTON ST. 2F",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562181",
"telephone_number": "330-723-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JI HYE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN. 333897",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA. 12300-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.