Active NPI
Christina Estrada Lee, MD
- Pediatrics Physician
- Riverview, FL
National Provider Identifier
1073539995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 84549
- Practice address
- 10729 Queens Town Dr
Riverview, FL 33579-7186 - Phone
- (813) 672-3497
- Fax
- (813) 741-2418
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 10, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 84549 | FL | Primary |
Addresses
Primary practice location
10729 Queens Town Dr
Riverview, FL 33579-7186
Mailing address
4033 Tampa Road, Suite 101
Oldsmar, FL 34677-3224
Phone (813) 854-2003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2647231 00 | Medicaid | FL |
Other names 1
- Christina L Estrada
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 84549 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Alliance, PA | Pediatrics | Past | Accepting new patients |
| Pediatric Health Care Alliance, PA | Pediatrics | 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.
-
- Pediatrics Physician
- Oldsmar, FL
- NPI 1609965441
-
- Pediatrics Physician
- Riverview, FL
- NPI 1831865609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1073539995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 TAMPA ROAD, SUITE 101",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773224",
"telephone_number": "813-854-2003",
"fax_number": "813-855-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10729 QUEENS TOWN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797186",
"telephone_number": "813-672-3497",
"fax_number": "813-741-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTINA",
"middle_name": "ESTRADA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 84549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2647231 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "ESTRADA",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.