Individual provider Active NPI

Susan Elaine Lee, NP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1194979054
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN065522 APO3407 Issued in LA
Practice address
555 Convention Center Boulevard
New Orleans, LA 70115-1649
Phone
(504) 533-6624
Fax
(504) 533-6625
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN065522 APO3407 LA Primary

Addresses

Primary practice location

555 Convention Center Boulevard
New Orleans, LA 70115-1649

Mailing address

555 Convention Center Boulevard
New Orleans, LA 70115-1649
Phone (504) 533-6624

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN065522 APO3407LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Louisanna, Professional Medical Corporation Past Accepting new patients
University Healthcare System, LC Past Accepting new patients

Organizations & group practices 2

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1194979054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CONVENTION CENTER BOULEVARD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151649",
            "telephone_number": "504-533-6624",
            "fax_number": "504-533-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CONVENTION CENTER BOULEVARD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151649",
            "telephone_number": "504-533-6624",
            "fax_number": "504-533-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN065522 APO3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.