Marchelle Diane Lee, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

698549 Issued in TX

Practice address

21110 Mandarin Glen Cir
Spring, TX 77388-7540

Phone

(832) 233-4472

Fax

(281) 656-4401

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Marchelle Diane Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1073914628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 MANDARIN GLEN CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773887540",
            "telephone_number": "832-233-4472",
            "fax_number": "281-656-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 MANDARIN GLEN CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773887540",
            "telephone_number": "832-233-4472",
            "fax_number": "281-656-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARCHELLE",
        "middle_name": "DIANE",
        "name_prefix": "Miss",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "698549",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "698549",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "698549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCHELLE",
            "last_name": "LEE",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aimee Beth Lee, O.D.
• Breanna Nycole Lee
• Jeanne Lee, RN
• Jongwook Lee, DDS
• Laura L Lee, MS, LPC
• Markita Allen Lee, NP-C
• Mayleen Laura Lee, DDS
• Melanie Lee, RN BSN CWON
• Michelle Lee, M.D.
• Nicole Lee

• Registered Nurse in Spring, TX
• Providers in Spring, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.