Active NPI
Colleen Lee
- Nutrition Education Nutritionist
- La Palma, CA
National Provider Identifier
1295565703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 7872 Walker St
La Palma, CA 90623-1796 - Phone
- (714) 527-8777
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | CA | ||
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
7872 Walker St
La Palma, CA 90623-1796
Mailing address
414 S Ardmore Ave Apt 316
Los Angeles, CA 90020-3249
Phone (213) 531-7969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1295565703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 S ARDMORE AVE APT 316",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203249",
"telephone_number": "213-531-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7872 WALKER ST",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231796",
"telephone_number": "714-527-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.