Individual provider Active NPI

Jessica Lauren Lee, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1255983466
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007645 Issued in FL
Practice address
2255 Killearn Center Blvd Ste 100
Tallahassee, FL 32309-3562
Phone
(850) 877-1162
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN242807 GA
Family Nurse Practitioner 363LF0000X APRN11007645 FL Primary

Addresses

Primary practice location

2255 Killearn Center Blvd Ste 100
Tallahassee, FL 32309-3562

Mailing address

2255 Killearn Center Blvd Ste 100
Tallahassee, FL 32309-3562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190805001159 GA Practitioner - Nurse Practitioner 8820325590 Reassigns benefits to 1 organization
I20200723001533 FL Practitioner - Nurse Practitioner 8820325590 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jul 11, 2019 Accepting new patients
Careconnect Health, Inc. CurrentSince Jul 11, 2019 Accepting new patients
Patients First Lake Ella Medical Center P a CurrentSince Jun 1, 2020 Accepting new patients
North Florida Pediatric Assoc., PA PastSince Apr 6, 2023 Accepting new patients

Locations

1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222

3258 N Monroe St
Tallahassee, FL 32303
Phone (850) 562-2010

590 Lanier Ave W
Fayetteville, GA 30214

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

1909 US Highway 82 W
Ste 34
Tifton, GA 31793
Phone (229) 445-3509

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJAAA

Organizations & group practices 4

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1255983466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 KILLEARN CENTER BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 KILLEARN CENTER BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093562",
            "telephone_number": "850-877-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN242807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.