ALEXIS LEE (NPI# 1467901785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467901785 |
| Entity Type | Individual |
| Full Name | ALEXIS LEE |
| Practice Address |
107 S Indiana Ave Bloomington IN 47405-7000 |
| Mailing Address |
2801 W Heartwood Ct Apt H Bloomington IN 47403-5259 |
| Practice Telephone | 8128554848 |
| Mailing Telephone | 3175140240 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | EMT | 0279-6889 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617200 | Alexis Anne Lee | Marriage & Family Therapist | 1650 W Gentile St, Layton, UT 84041-7210 | 2018-08-01 |
| 1871117804 | Alexis Lee | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-06-05 |
| 1770111049 | Alexis Minyoung Lee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-31 |
| 1437707676 | Alexis W Lee | Student in an Organized Health Care Education/Training Program | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2019-08-30 |
| 1942721675 | Alexis Renee Lee | Social Worker | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2017-07-03 |
| 1770010456 | Alexis Reddish Lee | Nurse Practitioner | 210 Franklin Rd Ste 100, Brentwood, TN 37027 | 2017-05-12 |
| 1275080525 | Alexis Lee | Marriage & Family Therapist | 205 N Main St, Spanish Fork, UT 84660-1726 | 2016-09-03 |
| 1760864284 | Alexis Deanna Lee | Counselor | 9033 Washington Blvd, Pico Rivera, CA 90660-3839 | 2015-06-20 |
| Street Address |
107 S INDIANA AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47405-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053384735 | Brynn Elissa Schuckman | Specialist/Technologist | 107 S Indiana Ave, Bloomington, IN 47405-7000 | 2006-02-10 |
| 1194382838 | Casey Leigh Scheuer | Specialist/Technologist | 107 S Indiana Ave, Bloomington, IN 47405-7000 | 2019-05-28 |
| 1598221541 | Danielle Rose | Specialist/Technologist | 107 S Indiana Ave, Bloomington, IN 47405-7000 | 2019-02-14 |
| 1285061622 | William Means | Student in an Organized Health Care Education/Training Program | 107 S Indiana Ave, Bloomington, IN 47405-7000 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1801342621 | William Daniels Jr. | Health Educator | 600 N. Jordan Ave., Bloomington, IN 47405 | 2016-08-31 |
| 1588053664 | Sara Anne Boyer | Preventive Medicine | 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 | 2015-01-13 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1568580314 | Linda Jean Noble | Physical Therapist | Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 | 2007-03-27 |
| 1811482854 | Alexandria Lui | Optometrist | 744 E 3rd St, Bloomington, IN 47405 | 2018-06-22 |
| 1295234763 | Joshua Allan Stommes | Optometrist | 800 E Atwater Ave, Bloomington, IN 47405 | 2018-02-09 |
| 1548410038 | Elin C Grimes | Dietitian, Registered | 600 N Jordan Ave, Indiana University Health Center, Bloomington, IN 47405 | 2008-09-22 |
| 1366432528 | Rebecca D. Eberle | Speech-Language Pathologist | 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 | 2005-10-27 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| Find all providers in zip 47405 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1528689312 | Cody Schroeder | Student in an Organized Health Care Education/Training Program | 19 Norman Ridge Dr, Bloomington, MN 55437-1749 | 2020-05-03 |
| 1578117107 | Ingrid Alexis Lopez | Student in an Organized Health Care Education/Training Program | 9817 Vine St, Bloomington, CA 92316-2038 | 2019-07-31 |
| 1356907026 | Shannon G Freed | Student in an Organized Health Care Education/Training Program | 10660 Hampshire Ave S Apt 3102, Bloomington, MN 55438-2629 | 2019-05-17 |
| 1730649062 | Matthew Acton | Student in an Organized Health Care Education/Training Program | 2341 E Plateau Pl, Bloomington, IN 47401-9502 | 2019-03-22 |
| 1881158012 | Amber Caitlyn Bentley | Student in an Organized Health Care Education/Training Program | 701 N Walnut St Apt 211, Bloomington, IN 47404-4038 | 2019-01-22 |
| 1104337245 | Ashley Roy | Student in an Organized Health Care Education/Training Program | 1202 N Walnut St, Bloomington, IN 47404-3534 | 2017-10-16 |
| 1326584244 | Jonah Harrison Prickel | Student in an Organized Health Care Education/Training Program | 713 S Brighton Crst, Bloomington, IN 47401-8684 | 2017-01-17 |
| 1215327630 | Miranda Lofgren | Student in an Organized Health Care Education/Training Program | 2036 N Walnut St, Apt B17, Bloomington, IN 47404-2465 | 2015-01-24 |
| 1598154825 | Tyler Daniel Reems | Student in an Organized Health Care Education/Training Program | 935 S Copper Beech Way Apt E, Bloomington, IN 47403-5242 | 2015-01-09 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47405 |
Please comment or provide details below to improve the information on ALEXIS LEE.
| 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.