Individual provider Active NPI

Lynne A Lee, APRN-CNP

  • Family Nurse Practitioner
  • Vandalia, OH
National Provider Identifier
1093345050
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026194 Issued in OH
Practice address
505 Corporate Center Dr Unit a
Vandalia, OH 45377-1168
Phone
(937) 898-2098
NPI assigned
Jan 18, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.026194 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.026194 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.026194 OH Primary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.026194 OH
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.026194 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.026194 OH

Addresses

Primary practice location

505 Corporate Center Dr Unit a
Vandalia, OH 45377-1168

Mailing address

505 Corporate Center Dr Unit a
Vandalia, OH 45377-1168
Phone (937) 898-2098

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026194OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness for Me, LLC CurrentSince Jan 26, 2020 Accepting new patients

Locations

505 Corporate Center Dr
Unit A
Vandalia, OH 45377
Phone (937) 898-2098

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": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1093345050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CORPORATE CENTER DR UNIT A",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771168",
            "telephone_number": "937-898-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CORPORATE CENTER DR UNIT A",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771168",
            "telephone_number": "937-898-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LYNNE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.026194",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.026194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026194",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.026194",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.026194",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.026194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.