Active NPI
Olga Lee, MSN
- Family Nurse Practitioner
- Rockville, MD
National Provider Identifier
1275357659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R231818
- Practice address
- 10110 Molecular Dr Ste 114
Rockville, MD 20850-7538 - Phone
- (301) 780-4745
- Fax
- (301) 605-7550
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | R231818 | MD | Primary |
Addresses
Primary practice location
10110 Molecular Dr Ste 114
Rockville, MD 20850-7538
Mailing address
10110 Molecular Dr Ste 114
Rockville, MD 20850-7538
Phone (301) 780-4745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Medical Group, Inc | Current | Accepting new patients |
Locations
10110 Molecular Dr
Ste 114
Rockville, MD 20850
Phone (301) 780-4745
Interoperability endpoints
- olee@mmgi.gwaydirect.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.608025
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1275357659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10110 MOLECULAR DR STE 114",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507538",
"telephone_number": "301-780-4745",
"fax_number": "301-605-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10110 MOLECULAR DR STE 114",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507538",
"telephone_number": "301-780-4745",
"fax_number": "301-605-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "OLGA",
"credential": "MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R231818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.