ICHIN LEE


Address: 220 L St Ne, Washington, DC 20002-3461
Phone: 2025447580

ICHIN LEE (NPI# 1306194733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306194733
Entity Type Individual
Full Name ICHIN LEE
Practice Address 220 L St Ne
Washington
DC 20002-3461
Practice Telephone 2025447580
Practice Fax Number 2028277867
Mailing Telephone 2025447580
Mailing Fax Number 2028277867
Enumeration Date 2012-08-15
Last Update Date 2016-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN1022186 DC Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
R199927 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 220 L ST NE
City WASHINGTON
State DC
Zip Code 20002-3461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831355486 James C Yang Internal Medicine 220 L St Ne, Washington, DC 20002-3461 2008-08-04
1811382146 Shannon Gorrell Nurse Practitioner 220 L St Ne, Washington, DC 20002-3461 2015-04-03
1649512252 Abimbola Fasusi Physician Assistant 220 L St Ne, Washington, DC 20002-3536 2013-03-21

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1346727815 Jody Beck Nurse Practitioner 106 Irving St Nw Ste 2100, Washington, DC 20010-2957 2018-07-26
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1295177293 Leora Michelle Allen Nurse Practitioner 900 23rd St Nw Ste G1092, Washington, DC 20037-2342 2013-07-19
1639420953 Anne Pitman Weiland Nurse Practitioner 5300 27th St Nw, Washington, DC 20015-1328 2012-09-26
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1578824116 Rhonda Ann Pepmiller Nurse Practitioner 851 E 5th St Ste 309, Washington, MO 63090 2012-05-30
1306127295 Cathy Jean Hampton Nurse Practitioner The Catholic University Student Ctr, 620 Michigan Ave, Ne, Washington, DC 20064-0001 2011-09-06
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Competitor

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City WASHINGTON
Zip Code 20002

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Dataset Information

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.

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