MRS. VALERIE VERONICA LEE (NPI# 1245540772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245540772 |
| Entity Type | Individual |
| Full Name | MRS. VALERIE VERONICA LEE |
| Credential | IDMT |
| Practice Address |
210 N Point Rd Fairview Heights IL 62208-2437 |
| Practice Telephone | 5757702939 |
| Mailing Telephone | 5757702939 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417235797 | Valerie Trejo Lee | Optometrist | 7545 Ne Glisan St, Portland, OR 97213-6356 | 2011-08-03 |
| 1780847889 | Valerie A Lee | Acupuncturist | 2166 Hayes Street, Ste 306, San Francisco, CA 94117-1033 | 2008-07-08 |
| 1346853553 | Valerie Marie Lee | Respiratory Therapist, Certified | 3600 Broadway, Oakland, CA 94611-5730 | 2020-08-27 |
| 1699329599 | Valerie Lee | Specialist/Technologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2019-07-29 |
| 1780165779 | Valerie Dawn Lee | Occupational Therapist | 8097 Hamilton Ave, Cincinnati, OH 45231-2321 | 2018-08-27 |
| 1689105512 | Valerie Lee | Counselor | 3221 Behrman Pl Ste 201, New Orleans, LA 70114 | 2017-03-22 |
| 1578001640 | Valerie Kay Lee | Physician Assistant | 12371 Imperial Hwy, Norwalk, CA 90650-3129 | 2017-02-08 |
| 1821389701 | Valerie Lee | Internal Medicine | 401 N Broadway St, Weinberg Building, Baltimore, MD 21287-0019 | 2011-04-26 |
| 1285869446 | Valerie Anne Lee | Physical Therapist | 540 Ralston Ave Ste B, Belmont, CA 94002-2866 | 2009-05-18 |
| 1689817413 | Valerie Herbst Lee | Registered Nurse | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2009-04-09 |
| Street Address |
210 N POINT RD |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787468 | Zachary B Reynolds | Military Health Care Provider | 4691 Petty Ct, Scott Afb, IL 62225-6195 | 2018-10-24 |
| 1912328857 | Justin Stinson | Military Health Care Provider | 7526 S Clyde Ave, Chicago, IL 60649-3918 | 2013-12-19 |
| 1275954125 | D'mario Revere | Military Health Care Provider | 4465 George Washington Dr, Scott Afb, IL 62225-6000 | 2013-12-19 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| 1477784312 | Derek Cowen | Military Health Care Provider | 505 Rimkus Drive, Scott Air Force Base, IL 62225 | 2009-07-27 |
| 1861627804 | Mark Winthrop Battle | Military Health Care Provider | 2318 Rockwood Dr, Belleville, IL 62221-6837 | 2009-05-20 |
| 1639313240 | Raymond J Flaiz | Military Health Care Provider | 312 W. Losey Str, 375 Mdg/sgopg, Scott Afb, IL 62225 | 2009-04-27 |
| 1437778016 | Mark Alan Underhill | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-04-13 |
| 1346890894 | Crystal June Garcia | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-09-17 |
| 1215580386 | Ryan Taylor Blalock | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-07-18 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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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.