Individual provider Active NPI

Tishae Lee

  • Registered Nurse
  • Nottingham, MD
National Provider Identifier
1336096072
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R243024 Issued in MD
Practice address
4134 E Joppa Rd Ste 202
Nottingham, MD 21236-2278
Phone
(443) 622-7112
Fax
(443) 622-7112
NPI assigned
Mar 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X R243024 MD Primary

Addresses

Primary practice location

4134 E Joppa Rd Ste 202
Nottingham, MD 21236-2278

Mailing address

4134 E Joppa Rd Ste 202
Nottingham, MD 21236-2278
Phone (443) 622-7112

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

State licenses

LicenseStateTypeSpecialty
R243024MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Stay Home LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

4134 E Joppa Rd
Ste 202
Nottingham, MD 21236
Phone (410) 248-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1336096072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD STE 202",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362278",
            "telephone_number": "443-622-7112",
            "fax_number": "443-622-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD STE 202",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362278",
            "telephone_number": "443-622-7112",
            "fax_number": "443-622-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TISHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R243024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.