Individual provider Active NPI

Lee Elizabeth Myers, DNP,MSN, FNP (BC)

  • Family Nurse Practitioner
  • Pawtucket, RI
National Provider Identifier
1902427685
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02228 Issued in RI
Practice address
8 Rosewood St # 1
Pawtucket, RI 02860-4427
Phone
(401) 316-4919
Fax
(380) 203-1341
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 APRN02228 RI Primary

Addresses

Primary practice location

8 Rosewood St # 1
Pawtucket, RI 02860-4427

Mailing address

799 Hope St
Providence, RI 02906-3635
Phone (401) 316-4919

Other practice location 1

799 Hope St
Providence, RI 02906-3635
Phone (401) 316-4919

Other names 1

  • Lee E Belliveau-Myers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260326002676 FL Order and Referring Only - Nurse Practitioner 9032528328

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12 Cadillac Dr
Suite 300
Brentwood, TN 37027-5272

338 Whitesville Rd
Suite 103
Jackson, NJ 08527-5097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN02228RIMDFamily Nurse Practitioner

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lemyers@landmarkhealth-direct.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1902427685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063635",
            "telephone_number": "401-316-4919",
            "fax_number": "380-203-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ROSEWOOD ST # 1",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604427",
            "telephone_number": "401-316-4919",
            "fax_number": "380-203-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Hope St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029063635",
            "country_code": "US",
            "telephone_number": "401-316-4919",
            "fax_number": "380-203-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DNP,MSN, FNP (BC)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "BELLIVEAU-MYERS",
            "middle_name": "E",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.