Jeremy Lee
Military Health Care Provider (Independent Duty Corpsman)

Address: 509 Dennery Rd Apt 145, San Diego, CA 92154-8542
Phone: 9168954954

Jeremy Lee (NPI# 1255945069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255945069
Entity Type Individual
Full Name Jeremy Lee
Credential SFIDC
Gender Male
Practice Address 509 Dennery Rd Apt 145
San Diego
CA 92154-8542
Practice Telephone 9168954954
Mailing Address 509 Dennery Rd Apt 145
San Diego
CA 92154-8542
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-08-31
Last Update Date 2020-08-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1710I1002X Military Health Care Provider · Independent Duty Corpsman Other Service Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1326523929 Jeremy Lee Physical Therapist 15632 Bear Valley Rd Ste 108, Victorville, CA 92395-8518 2018-09-28
1346663465 Jeremy Lee Pharmacist 3318 Corte Verso, Carlsbad, CA 92009-9323 2014-01-24
1851483218 Jeremy Lee Optometrist 184 Lexington Ave, Apt #7e, New York, NY 10016-6839 2006-09-29
1285094607 Jeremy Neil Lee Counselor 480 Underwood Ave, Montello, WI 53949-9248 2016-02-26
1497994230 Jeremy Lee Emergency Medicine 810 N 22nd St, Blair, NE 68008-1128 2009-02-18
1568609378 Jeremy D Lee Nurse Anesthetist, Certified Registered 1 Medical Park Blvd, Bristol, TN 37620-7430 2009-01-15
1205927340 Jeremy S Lee Anesthesiology 4002 E Main Street, Red Mountain Anesthesiology Suite 1, Mesa, AZ 85205 2006-09-27
1356332605 Jeremy James Lee Chiropractor 131 Main St, Geneseo, NY 14454-1242 2005-11-03

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801492145 Felicia Leanna Roberts Military Health Care Provider 2267 Reed Ave, San Diego, CA 92109-5628 2020-12-10
1720684319 Brandon Young Military Health Care Provider 3401 Farenholt Ave Building 14, San Diego, CA 92134-0001 2020-12-08
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1174130744 Daniel Carrera Military Health Care Provider 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 2020-09-28
1316551740 Kyle Bode Francis Military Health Care Provider 3149 Murray Ridge Rd, San Diego, CA 92123-2917 2020-09-02
1013520667 Rashaad Brown Military Health Care Provider 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 2020-08-24
1932711934 Alvaro Daniel Macias Military Health Care Provider 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 2020-08-20
1689286189 Charles Luke Morris Military Health Care Provider 1675 Beta Ct, San Diego, CA 92126-7060 2020-08-18
1255943635 Stephon Peyton Frost Military Health Care Provider 2654 Mendonca Dr, San Diego, CA 92110-4263 2020-08-18
1184235871 Jaden Sandi Military Health Care Provider Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 2020-08-14
Find all providers in SAN DIEGO

Office Location

Street Address 509 DENNERY RD APT 145
City SAN DIEGO
State CA
Zip Code 92154-8542

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952922783 Rosalie Ramos Gayares Licensed Vocational Nurse Del Sur Crisis Center, San Diego, CA 92154 2020-05-04
1720625791 Michelle Lynn Mason Counselor 892 27th Street, San Diego, CA 92154 2019-12-09
1538604020 Victor Luis Assid Counselor 3069 Camino Aleta, San Diego, CA 92154 2016-12-20
1710346275 Abba Transportation Services LLC Non-emergency Medical Transport (VAN) 5640 Surfrider Way #255, San Diego, CA 92154 2016-02-12
1851788962 Danielle D. Weisman Psychologist 9335 Airway Rd Ste 202, San Diego, CA 92154 2015-04-16
1215321955 Carolina Gonzalez-garcia Marriage & Family Therapist 3085 Beyer Blvd Ste A103, San Diego, CA 92154 2015-03-19
1285042945 Maricela Ochoa Pharmacist 710 Dennery Road, San Diego, CA 92154 2014-07-25
1376975300 Shatori R Dearman Social Worker 5143 Bay Crest Ln, San Diego, CA 92154 2013-08-01
1912257940 Bj's Trading LLC Durable Medical Equipment & Medical Supplies 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 2012-09-18
1881997625 Tywila Reeves Bivens Nurse's Aide 976 Picador Blvd, San Diego, CA 92154 2010-12-17
Find all providers in zip 92154

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92154

Improve Information

Please comment or provide details below to improve the information on Jeremy Lee.

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.