Active NPI
Jeannie W. Lau Lee, P.N.P.
- Nurse Practitioner
- Orange, CA
National Provider Identifier
1043405798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP6724
- Practice address
- 1920 E Katella Ave
Suite M.
Orange, CA 92867-5146 - Phone
- (714) 633-7111
- Fax
- (714) 633-2903
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 6, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP6724 | CA | Primary |
Addresses
Primary practice location
1920 E Katella Ave
Suite M.
Orange, CA 92867-5146
Mailing address
1920 E Katella Ave
Suite M.
Orange, CA 92867-5146
Phone (714) 633-7111
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP6724 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Past | Accepting new patients | |
| Rofim Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Pediatrics Physician
- Orange, CA
- NPI 1992802680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1043405798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 E KATELLA AVE",
"address_2": "SUITE M.",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675146",
"telephone_number": "714-633-7111",
"fax_number": "714-633-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E KATELLA AVE",
"address_2": "SUITE M.",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675146",
"telephone_number": "714-633-7111",
"fax_number": "714-633-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU LEE",
"first_name": "JEANNIE",
"middle_name": "W.",
"name_prefix": "Mrs.",
"credential": "P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP6724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.