Individual provider Active NPI

Deborah Lee

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1205357209
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP132151 Issued in TX
Practice address
4600 Scyene Rd
Dallas, TX 75210-2219
Phone
(214) 266-1000
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP132151 TX Primary

Addresses

Primary practice location

4600 Scyene Rd
Dallas, TX 75210-2219

Mailing address

4600 Scyene Rd
Dallas, TX 75210-2219

Other names 1

  • Deborah Lake Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20171213001422 TX Practitioner - Nurse Practitioner 8820356272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City OB-GYN, PLLCGroup PAC ID 3476808411, 60 clinicians

Practice addresses (Care Compare)

1700 N Lake Forest Dr
McKinney, TX 75071-7600
Phone (214) 733-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical City OB-GYN, PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700258

4701 Medical Center Dr
Ste 1A
McKinney, TX 75069
Phone (214) 733-8001

1700 N Lake Forest Dr
McKinney, TX 75071
Phone (214) 733-8001

Interoperability endpoints

  • Direct secure messaging: dlee73538@direct.phhs.org
  • Direct secure messaging: deborah.lee@hca7.eclinicaldirectplus.com

Organizations & group practices 1

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1205357209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SCYENE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SCYENE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102219",
            "telephone_number": "214-266-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP132151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "LAKE",
            "credential": "RNC, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.