Active NPI
Crystal Brooke Lee, ARNP
- Family Nurse Practitioner
- Lake Mary, FL
National Provider Identifier
1215402136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9312724
- Practice address
- 710 N Sun Dr
Lake Mary, FL 32746-2507 - Phone
- (407) 805-3131
- NPI assigned
- Oct 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9312724 | FL | Primary |
Addresses
Primary practice location
710 N Sun Dr
Lake Mary, FL 32746-2507
Mailing address
2405 Lake Rd
Fern Park, FL 32730-2227
Phone (770) 714-2702
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9312724 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538784000000",
"number": "1215402136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 LAKE RD",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302227",
"telephone_number": "770-714-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N SUN DR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462507",
"telephone_number": "407-805-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CRYSTAL",
"middle_name": "BROOKE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-06",
"last_updated": "2018-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9312724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.