Active NPI
Yejin Lee, CPNP-PC, RN
- Pediatric Nurse Practitioner
- Bridgeport, CT
National Provider Identifier
1093269185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 6623
- Practice address
- 46 Albion St
Bridgeport, CT 06605-2602 - Phone
- (203) 330-6000
- NPI assigned
- Aug 7, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 6623 | CT | Primary |
Addresses
Primary practice location
46 Albion St
Bridgeport, CT 06605-2602
Mailing address
46 Albion St
Bridgeport, CT 06605-2602
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
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1093269185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ALBION ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066052602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 ALBION ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066052602",
"telephone_number": "203-330-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YEJIN",
"credential": "CPNP-PC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-07",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "6623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.