CAROLYN J. LEE
Complete NPI Record 1205439759
Technician - Personal Care Attendant in Charleston, WV

NPI Status: Active since November 18, 2020

Contact Information

121 IOWA ST.
CHARLESTON, WV
ZIP 25387
Phone: (304) 610-7352

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Complete NPI Dataset

This page represents the complete record for NPI 1205439759. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1205439759
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider First Name: CAROLYN
The first name of the provider, if the provider is an individual.
Provider Middle Name: J.
The middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 121 IOWA ST.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: CHARLESTON
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: WV
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 25387
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 3046107352
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider First Line Business Practice Location Address: 121 IOWA ST.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: CHARLESTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: WV
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 25387
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3046107352
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/18/2020
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/18/2020
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 3747P1801X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
NPI Certification Date: 11/18/2020