Connery Lee, FNP
Individual provider Active NPI Family Nurse Practitioner · Garden Grove, CA
NPI 1124294145 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1124294145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17357 (CA)
- Practice address
- 7761 Garden Grove Blvd
Garden Grove, CA 92841-4200 - Phone
- (714) 898-8888
- Fax
- (714) 901-7580
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- County of Kern
Practice addresses (Care Compare)
1600 E Belle Ter
Bakersfield, CA 93307-3871
Phone (661) 635-2950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090902000140 | CA | Practitioner - Nurse Practitioner | 6901951615 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 614482 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current |
Accepting new patients | |
| County of Kern | Current | Accepting new patients | |
| County of Kern | Psychiatric/Mental Health, Adult | Current |
Accepting new patients |
| Brainhealth Solutions, Inc. | Current |
Accepting new patients | |
| County of Kern | Psychiatric/Mental Health, Adult | Current |
Accepting new patients |
| College Community Services | Current | Accepting new patients | |
| College Community Services | Current |
Accepting new patients | |
| GN Medical Associates, Inc. | Family | Past |
Accepting new patients |
Locations
1901 E Center St
Anaheim, CA 92805
Phone (714) 780-0750
2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295
1600 E Belle Ter
Bakersfield, CA 93307
Phone (661) 635-2950
136 Broadway
Costa Mesa, CA 92627
Phone (949) 288-5377
9191 Westminster Ave
Ste 211
Garden Grove, CA 92844
Phone (714) 799-5058
2731 Nugget Ave
Lake Isabella, CA 93240
Phone (760) 379-3412
4281 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (714) 309-0379
16940 Highway 14
Ste Cj
Mojave, CA 93501
Phone (661) 824-5020
1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480
8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272
Interoperability endpoints
- connery.lee@nhanhoa.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN 614482 | CA | |
| Family Nurse Practitioner | 363LF0000X | 17357 | CA | Yes |
Addresses
Primary practice location
7761 Garden Grove Blvd
Garden Grove, CA 92841-4200
Mailing address
21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2604
Phone (562) 865-3644
Other practice location 1
21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2604
Phone (562) 865-3644
Other providers in Garden Grove, CA
- Chin-Jane R Lee
- Choongbae Lee
- Christine Lee
- Chungja Lee
- Clifford Suk-Jae Lee
- David Charles Lee
- Esther Lee
- Eun Jung Lee
- Eva Lee
- Francis Sangwon Lee
All providers in Garden Grove, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.