Tao Lee, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3872-33 Issued in WI

Practice address

1205 North Ave
Cleveland, WI 53015-1413

Phone

(920) 693-5600

Fax

(920) 693-5604

NPI assigned

Oct 8, 2009

Sex

Male

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 WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Prism Health and Wellness LLC

  • Professional Counselor
  • Sheboygan, WI
  • NPI 1871218636
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1295060275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N 26TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530834479",
            "telephone_number": "920-254-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NORTH AVE",
            "city": "CLEVELAND",
            "state": "WI",
            "postal_code": "530151413",
            "telephone_number": "920-693-5600",
            "fax_number": "920-693-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAO",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "3872-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Hemb
• Carol Ilma Jacobs, NP
• Gary J Kunz, MSN
• Latreace Hope Laack, MSW, APSW
• Lakeshore Community Dental Clinic
• Stephanie Lemkuil, OTR/L
• Amy Sue McKenzie, MSW LCSW SAC
• Milwaukee Vamc
• Doris Misiak, LMSW
• Nathan Nitka, RD, CD

• Adult Health Nurse Practitioner in Cleveland, WI
• Providers in Cleveland, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.

Verify at the official NPI Registry.