Individual provider Active NPI

Sonyong A Lee, MSN, APRN, RN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1336609726
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141072 Issued in TX
Practice address
19284 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-3474
Phone
(210) 246-0124
Fax
(210) 246-0146
NPI assigned
Mar 21, 2019
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP141072 TX
Family Nurse Practitioner 363LF0000X AP141072 TX Primary

Addresses

Primary practice location

19284 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-3474

Mailing address

19284 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-3474
Phone (210) 268-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220504002458 TX Practitioner - Nurse Practitioner 1557692852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seema a Dar MD PAGroup PAC ID 7315998937, 2 clinicians

Practice addresses (Care Compare)

19141 Stone Oak Pkwy
Suite 104 PMB 133
San Antonio, TX 78258-3474

19284 Stone Oak Pkwy
Suite 102
San Antonio, TX 78258-3474
Phone (210) 268-0124

19284 Stone Oak Pky
Suite 102
San Antonio, TX 78258-3474

Merit-based Incentive Payment System (MIPS)

Final score
75.84 of 100Reported as group
Quality
71.5
Improvement activities
40
Cost
57.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP141072TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seema a Dar, MD PA CurrentSince Apr 6, 2022 Accepting new patients

Locations

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

19284 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258

19284 Stone Oak Pkwy
Ste 102
San Antonio, TX 78258
Phone (210) 268-0124

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGHICD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGHICD/Endpoint/CGHICD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1336609726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19284 STONE OAK PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583474",
            "telephone_number": "210-268-0124",
            "fax_number": "210-268-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 STONE OAK PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583474",
            "telephone_number": "210-246-0124",
            "fax_number": "210-246-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SONYONG",
        "middle_name": "A",
        "credential": "MSN, APRN, RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.