JAEYEON LEE (NPI# 1679092340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679092340 |
| Entity Type | Individual |
| Full Name | JAEYEON LEE |
| Practice Address |
896 Asylum Ave Hartford CT 06105-1901 |
| Practice Telephone | (860) 522-8241 |
| Mailing Telephone | 8605228241 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
896 ASYLUM AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467545251 | Catholic Charities, Inc. - Archdiocese of Hartford | Clinic/Center | 896 Asylum Ave, Hartford, CT 06105-1901 | 2006-10-02 |
| 1629545165 | Danielle Mccormick | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2018-11-01 |
| 1083181010 | Jennifer M Gonzalez-smith | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2018-10-29 |
| 1306320189 | Alec Lotstein | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2018-09-18 |
| 1063995124 | Chrystal Aline Sparks | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2018-09-13 |
| 1811482508 | Oscar-judah O Ankrah | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2018-06-26 |
| 1790295236 | Dion C Wright | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2017-10-11 |
| 1649780271 | Latoya Renee Hobbs | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2017-10-10 |
| 1275063760 | Heather Sisti | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, Hartford, CT 06105-1901 | 2017-06-15 |
| 1255864286 | Candacy Caesar | Marriage & Family Therapist | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105-1901 | 2017-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| 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 |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1669009916 | Amjad O. M. Saad | Student in an Organized Health Care Education/Training Program | 80 Seymour St # 6102, Hartford, CT 06102-8000 | 2020-03-26 |
| 1497317986 | Muhammad Akrmah | Student in an Organized Health Care Education/Training Program | 250 Main St Apt 431, Hartford, CT 06106-1871 | 2019-07-03 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1518523059 | Krishna Patel | Student in an Organized Health Care Education/Training Program | 86 Seymour St, Hartford, CT 06106-2441 | 2019-05-09 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| Find all providers in HARTFORD | ||||
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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.