Individual provider Active NPI

Connie Lee

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1255968103
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30580 Issued in TN
Practice address
2410 Patterson St Ste 500
Nashville, TN 37203-6521
Phone
(615) 342-7440
Fax
(615) 342-7455
NPI assigned
Mar 23, 2020
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 177041 TN
Nurse Practitioner 363L00000X 30580 TN Primary

Addresses

Primary practice location

2410 Patterson St Ste 500
Nashville, TN 37203-6521

Mailing address

200 Oxford Dr
Franklin, TN 37064-2179
Phone (615) 438-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220110002469 TN Practitioner - Nurse Practitioner 3274925946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristar Bone Marrow Transplant, LLCGroup PAC ID 6204146244, 12 clinicians

Practice addresses (Care Compare)

2410 Patterson St
Suite 500
Nashville, TN 37203-6521
Phone (615) 342-7440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177041TNMDRegistered Nurse
30580TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Bone Marrow Transplant, LLC Nurse Practitioner CurrentSince Jan 3, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2410 Patterson St
Ste 500
Nashville, TN 37203
Phone (615) 340-4611

Interoperability endpoints

  • Direct secure messaging: connie.lee@hca1.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1255968103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OXFORD DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642179",
            "telephone_number": "615-438-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036521",
            "telephone_number": "615-342-7440",
            "fax_number": "615-342-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "177041",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "30580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.