JENNIFER LEE (NPI# 1134506744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134506744 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE |
| Practice Address |
205 High Point Dr Johnson City TN 37601-1503 |
| Practice Telephone | 4236310731 |
| Mailing Telephone | 4236310731 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713526 | Jennifer Lee | Massage Therapist | 11707 N Wall St, Spokane, WA 99218-2844 | 2020-09-02 |
| 1215557863 | Jennifer Lee | Student in an Organized Health Care Education/Training Program | 1175 Grand Concourse Dept Of, Bronx, NY 10452-8549 | 2020-04-23 |
| 1811528862 | Jennifer Ann Lee | Occupational Therapy Assistant | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-01-29 |
| 1366093916 | Jennifer Carrie Lee | Massage Therapist | 5135 Se 41st Ave, Portland, OR 97202-4234 | 2019-09-25 |
| 1164983359 | Jennifer Lee | Pharmacist | Bdsc Tf Med 528, Apo, AE 09305 | 2019-03-29 |
| 1205323847 | Jennifer Amy Lee | Occupational Therapist | 2429 22nd Ave, San Francisco, CA 94116-2436 | 2018-04-19 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1689107526 | Jennifer Lee | Psychiatry & Neurology | 401 Parnassus Avenue, Box-0984, San Francisco, CA 94143-0984 | 2017-04-07 |
| 1073065058 | Jennifer Lee | Dental Hygienist | 8832 Dakota Ave, Garden Grove, CA 92844-2016 | 2016-10-26 |
| 1841644879 | Jennifer Lee | Occupational Therapy Assistant | 10995 Sunshine Dr, Chardon, OH 44024-9637 | 2016-04-15 |
| Street Address |
205 HIGH POINT DR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518978402 | Vance Cleveland Shaw | Family Medicine | 205 High Point Dr, Johnson City, TN 37601-1503 | 2006-08-10 |
| 1093169443 | Evidence Based Addiction Medicine | Clinic/Center | 205 High Point Dr, Johnson City, TN 37601-1503 | 2016-04-21 |
| 1154697563 | Elli Bonnett Saraceno | Internal Medicine | 205 High Point Dr, Johnson City, TN 37601-1503 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248559 | Khia Ladawn Hudgins-smith | Counselor | 2700 S Roan St Ste 410, Johnson City, TN 37601-7638 | 2019-01-03 |
| 1063855575 | Kesha Brooke Brown | Counselor | 208 Quary Rd, Johnson City, TN 37601-7580 | 2013-04-15 |
| 1548514110 | Lawrence Rice | Counselor | 301 W Watauga Ave, Johnson City, TN 37604-5545 | 2012-11-05 |
| 1750668489 | Katherine Combs | Counselor | 4100 N Roan St Ste 214, Johnson City, TN 37601-1103 | 2011-11-09 |
| 1659686327 | Foundations for Life Principles/moral Kombat | Counselor | 2266 N Roan St, Johnson City, TN 37601-2527 | 2010-08-18 |
| 1104144922 | Julie Anna Sears | Counselor | 208 W Fairview Ave, Johnson City, TN 37604-5611 | 2010-05-05 |
| 1871725218 | Kristine Barbara Smith | Counselor | Lamont St & Veterans Way, Johnson City, TN 37604 | 2009-08-19 |
| 1598928350 | Heather Rena Hyder | Counselor | 109 E Watauga Ave, Johnson City, TN 37601-4675 | 2008-07-02 |
| 1083707913 | Keener Fryde Huneycutt | Counselor | 900 Buffalo St, Magnolia Ridge Treatment Center, Johnson City, TN 37604 | 2006-10-02 |
| 1457455131 | Wayne Keith Shorter II | Counselor | 109 W Watanga Ave, Johnson City, TN 37604 | 2006-09-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.