Active NPI
Lyubov M. Lee, FNP
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1013103969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12752
- Practice address
- 109 Herron Dr
Knoxville, TN 37919-4163 - Phone
- (865) 804-1446
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12752 | TN | Primary |
Addresses
Primary practice location
109 Herron Dr
Knoxville, TN 37919-4163
Mailing address
109 Herron Dr
Knoxville, TN 37919-4163
Phone (865) 804-1446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12752 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1013103969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HERRON DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194163",
"telephone_number": "865-804-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 HERRON DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194163",
"telephone_number": "865-804-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LYUBOV",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.