Nancy Phuong Lee

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1112916 Issued in TX

Practice address

621 SW Johnson Ave C
Burleson, TX 76028

Phone

(214) 988-2292

NPI assigned

Apr 6, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bare Derm Group IncGroup PAC ID 3274903307, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bare Derm Group Inc

  dba Bare Dermatology

  • Dermatology Physician
  • Dallas, TX
  • NPI 1053029348
  Medicare reassignment Care Compare group NPD
• Derm Texas LLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1386215002
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1265127294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CUSTER ROAD SUITE 270",
            "address_2": "SUITE NUMBER 1586",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "214-988-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "214-988-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NANCY",
        "middle_name": "PHUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Healthcare Inc
• Nia Lawrence, RN
• William David Lawrence, M.D.
• Andre T Le, O.D.
• Lean on Me, LLC (Assisting Hands Burleson Mansfield)
• Leesa Starrett Wellness Center
• Leo Capri Inc (republic home health)
• Nora Leon, LAT, BOC
• Julia Marie Leonard, LPC
• Kelly Anne Levasseur, RDN, LD

• Family Nurse Practitioner in Burleson, TX
• Providers in Burleson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.