Active NPI
Cheryl Butler Lee, FNP
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1366528416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 620308
- Practice address
- 7920 Frost St Ste 200
San Diego, CA 92123-4289 - Phone
- (858) 514-3700
- Fax
- (858) 565-6811
- NPI assigned
- Oct 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 620308 | CA | Primary |
Addresses
Primary practice location
7920 Frost St Ste 200
San Diego, CA 92123-4289
Mailing address
350 San Fernando St
San Diego, CA 92106-3336
Phone (619) 226-6422
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
| License | State | Type | Specialty |
|---|---|---|---|
| 620308 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366528416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SAN FERNANDO ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921063336",
"telephone_number": "619-226-6422",
"fax_number": "619-222-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 FROST ST STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234289",
"telephone_number": "858-514-3700",
"fax_number": "858-565-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHERYL",
"middle_name": "BUTLER",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "620308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.