Look up the most recent NPI and PECOS records

Sia Lee

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4535 Dressler Rd NW, Canton, OH 44718-2545

PECOS Enrollment

Based on the most recent information from CMS, provider Sia Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1548740459
Provider Type
Individual
Full Name
Lee, Sia
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/20/2018
Last Updated
10/26/2021

Contact Information

Practice Location

4535 Dressler Rd NW, Canton, OH 44718-2545

(855) 687-0618

Unlisted Fax

Mailing Location

1134 N De Wolf Ave, Fresno, CA 93737-9794

(559) 916-6062

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP95009520 California

Sia Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hagi, Denaye

Husted, Megan Elizabeth

Trent, Elizabeth

Mackle, Megan Elizabeth

Kaput, Inglish

Cochran, Candace

Fries, Laura H

Burkey, Lindsay Lynn

Porter, Sarah

Berkshire, Jillian