Individual provider Active NPI

Karen Dawn Lee, MSN, ARNP-BC

  • Adult Health Nurse Practitioner
  • Benton, KY
National Provider Identifier
1043539802
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5590P Issued in KY
Practice address
101 W 8TH St
Benton, KY 42025-1216
Phone
(270) 252-1311
Fax
(270) 252-1311
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5590P KY Primary

Addresses

Primary practice location

101 W 8TH St
Benton, KY 42025-1216

Mailing address

101 W 8TH St
Benton, KY 42025-1216
Phone (270) 252-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210000867 KY Order and Referring Only - Nurse Practitioner 4183863392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5590PKYMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1043539802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 8TH ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251216",
            "telephone_number": "270-252-1311",
            "fax_number": "270-252-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251216",
            "telephone_number": "270-252-1311",
            "fax_number": "270-252-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAREN",
        "middle_name": "DAWN",
        "credential": "MSN, ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "5590P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.