Individual provider Active NPI

David Alan Lee, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1285048702
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-120703 Issued in AL
Practice address
3108 6TH Ave S
Birmingham, AL 35233-3525
Phone
(205) 731-9090
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-120703 AL Primary

Addresses

Primary practice location

3108 6TH Ave S
Birmingham, AL 35233-3525

Mailing address

3108 6TH Ave S
Birmingham, AL 35233-3525
Phone (205) 731-9090

Other practice location 1

529 Beacon Pkwy W Ste 105
Birmingham, AL 35209-3126
Phone (256) 812-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 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
I20150417000854 AL Practitioner - Nurse Practitioner 7012235336 Reassigns benefits to 2 organizations
I20240119003200 NC Practitioner - Nurse Practitioner 7012235336 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-120703ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayrx CurrentSince Oct 3, 2023 Accepting new patients
Cypress Healthcare, LLC CurrentSince Feb 17, 2015 Accepting new patients

Locations

727 Memorial Dr
Bessemer, AL 35022
Phone (205) 332-3160

529 Beacon Pkwy W
Ste 105
Birmingham, AL 35209
Phone (205) 541-8434

860 Montclair Rd
Ste 955
Birmingham, AL 35213
Phone (205) 332-3160

301 Stone Ridge Blvd
Asheville, NC 28804
Phone (828) 845-1020

388 S Main St
Ste 3
Waynesville, NC 28786
Phone (828) 845-1020

Organizations & group practices 2

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1285048702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333525",
            "telephone_number": "205-731-9090",
            "fax_number": "205-731-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333525",
            "telephone_number": "205-731-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Beacon Pkwy W Ste 105",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352093126",
            "country_code": "US",
            "telephone_number": "256-812-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-120703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.