Mary Lee
Individual provider Active NPI Registered Nurse · Kenneth City, FL
NPI 1336074111 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1336074111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 9349997 (FL)
- Practice address
- 6222 43Rd Ave N
Kenneth City, FL 33709-5020 - Phone
- (727) 272-0534
- Fax
- (727) 272-0534
- NPI assigned
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9349997 | FL | Yes |
Addresses
Primary practice location
6222 43Rd Ave N
Kenneth City, FL 33709-5020
Mailing address
6222 43Rd Ave N
Kenneth City, FL 33709-5020
Phone (727) 272-0534
Other providers in Kenneth City, FL
- Felisha Renise King
- Leonard Klaskow
- Amber Knight
- Jennifer Marie Krouse
- Kristy Ann Lake
- Let'S Talk Speech and Language Therapy, Inc.
- Lexington Healthcare and Rehabilitation Center LLC
- Lexington Terrace Alf, LLC
- LK Therapeutic Services LLC
- Lisa Anne Lucius
All providers in Kenneth City, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.