Individual provider Active NPI

Michele Renee Lee, N.P.

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1093190373
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000019399 Issued in TN
Practice address
739 President PL
Smyrna, TN 37167-6844
Phone
(615) 459-3244
NPI assigned
Jul 28, 2015
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000019399 TN
Family Nurse Practitioner 363LF0000X APN0000019399 TN Primary

Addresses

Primary practice location

739 President PL
Smyrna, TN 37167-6844

Mailing address

739 President PL Ste 220
Smyrna, TN 37167-6846
Phone (615) 459-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151029000101 TN Practitioner - Nurse Practitioner 3072822212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000019399TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain Institute PLLC CurrentSince Jun 15, 2023 Accepting new patients

Locations

1608 Williams Dr
Ste 300
Murfreesboro, TN 37129
Phone (615) 459-3244

393 Wallace Rd
Ste 204A
Nashville, TN 37211
Phone (615) 459-3244

739 President Pl
Smyrna, TN 37167
Phone (615) 459-3244

739 President Pl
Ste 220
Smyrna, TN 37167
Phone (615) 459-3244

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGCDAA/Endpoint/EGCDAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1093190373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL STE 220",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676846",
            "telephone_number": "615-459-3244",
            "fax_number": "615-459-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676844",
            "telephone_number": "615-459-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000019399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.