Active NPI
Destiny Lee, RN
- Registered Nurse
- Lubbock, TX
National Provider Identifier
1225611593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1021894
- Practice address
- 3708 20TH St Ste a
Lubbock, TX 79410-1228 - Phone
- (806) 744-8999
- Fax
- (903) 532-1401
- NPI assigned
- May 4, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1021894 | TX | Primary |
Addresses
Primary practice location
3708 20TH St Ste a
Lubbock, TX 79410-1228
Mailing address
3708 20TH St Ste a
Lubbock, TX 79410-1228
Phone (806) 744-8999
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021894 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1225611593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 20TH ST STE A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101228",
"telephone_number": "806-744-8999",
"fax_number": "903-532-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 20TH ST STE A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101228",
"telephone_number": "806-744-8999",
"fax_number": "903-532-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DESTINY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1021894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.