Kimberly Dawn Lee, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

247646 Issued in AZ

Practice address

2815 S Alma School Rd Ste 112
Mesa, AZ 85210-4046

Phone

(480) 795-8577

NPI assigned

Jun 22, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aviant Hospice Phoenix Hospice, Gilbert, AZ, CCN 031591
• Elevate Hospice and Palliative Care LLC Hospice, Scottsdale, AZ, CCN 031706

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kimberly.lee.1@31782.direct.athenahealth.com
• Direct secure messaging: klee@emg-az.direct.office.nextgen.com

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.

• Elevate Medical Group PLLC

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1285402040
  Medicare reassignment NPD Authorized official
• Curana Health of Arizona

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1467187237
  Medicare reassignment NPD
• Eminence Medical Clinic PLLC

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1316653579
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Copper Communities Hospice, LLC

  dba Aviant Hospice Phoenix

  • Community Based Hospice Care Agency
  • Gilbert, AZ
  • NPI 1992030779
  Care Compare affiliation
• Elevate Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
  • NPI 1871155531
  Care Compare affiliation

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1104502590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S ALMA SCHOOL RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104046",
            "telephone_number": "480-795-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S ALMA SCHOOL RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104046",
            "telephone_number": "480-795-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247646",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "247646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chin Chang Lee
• Christopher E. Lee, O.D.
• Haley Brianna Lee
• Jeremy S Lee, MD
• Jocelyn Pacleb Lee
• Lauren Lee
• Mark Ellis Lee, DC
• Michelle Xiu Ying Lee
• Mikayla Kenzie Lee
• Mike C Lee, DDS

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.