Individual provider Active NPI

Heather Roxanne Lee, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
National Provider Identifier
1184975302
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4292 Issued in CA
Practice address
3130 Vera Ave
Los Angeles, CA 90034-3221
Phone
(808) 295-4763
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 744422 CA
Certified Registered Nurse Anesthetist 367500000X 4292 CA Primary

Addresses

Primary practice location

3130 Vera Ave
Los Angeles, CA 90034-3221

Mailing address

3130 Vera Ave
Los Angeles, CA 90034-3221
Phone (808) 295-4763

Other names 1

  • Heather Roxanne Colflesh Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
744422CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Sheldon Jordan, M.D., Inc. CurrentSince Aug 17, 2013 Accepting new patients
Foothill Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2013 Accepting new patients

Locations

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347

2827 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-1489

15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1184975302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 VERA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343221",
            "telephone_number": "808-295-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 VERA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343221",
            "telephone_number": "808-295-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEATHER",
        "middle_name": "ROXANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "744422",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "COLFLESH",
            "middle_name": "ROXANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.