Nicole Lee

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R2519925 Issued in MN

Practice address

9201 Golden Valley Rd Apt 122
Golden Valley, MN 55427-4384

Phone

(612) 400-4055

NPI assigned

Jan 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1184494684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 GOLDEN VALLEY RD APT 122",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 GOLDEN VALLEY RD APT 122",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274384",
            "telephone_number": "612-400-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R2519925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Laurent, PTA
• Learning Disabilities Association, Inc.
• Debra Suzanne Leavitt, LICSW
• Kellie Lynn Leblanc, APRN, FNP-C
• Susan M Lechner, OTRL
• Senia Helene Lee, OTR/L
• Harry Robert Schlussel Leeds, RN, DNP
• Legacy Care Home
• Andrew Lenander, PHARM D
• Shannon Marie Leppi, MS CCC SLP

• Home Health Registered Nurse in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.