Active NPI
Renee Jeanne Lee, R.N., N.P.
- Family Nurse Practitioner
- Manteca, CA
National Provider Identifier
1063688299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 538100
- Practice address
- 1234 E North St
Suite 102
Manteca, CA 95336-4960 - Phone
- (209) 824-2202
- Fax
- (209) 824-2205
- NPI assigned
- May 7, 2008
- 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 | 538100 | CA | Primary |
Addresses
Primary practice location
1234 E North St
Suite 102
Manteca, CA 95336-4960
Mailing address
1234 E North St
Suite 102
Manteca, CA 95336-4960
Phone (209) 824-2202
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 538100 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1063688299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E NORTH ST",
"address_2": "SUITE 102",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364960",
"telephone_number": "209-824-2202",
"fax_number": "209-824-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 E NORTH ST",
"address_2": "SUITE 102",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364960",
"telephone_number": "209-824-2202",
"fax_number": "209-824-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RENEE",
"middle_name": "JEANNE",
"credential": "R.N., N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "538100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.