Individual provider Active NPI

Karen Lee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1386930477
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R850033 Issued in MS
Practice address
64 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone
(601) 909-9390
Fax
(601) 909-9389
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150109000963 MS Practitioner - Nurse Practitioner 9931423431 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R850033MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Community Dental Center CurrentSince Jan 18, 2016 Accepting new patients
Sumrall Family Health Center Current Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. CurrentSince Jan 18, 2016 Accepting new patients
Region 12 Commission on Mental Health & Retardation Pine Belt Men CurrentSince Dec 6, 2014 Accepting new patients
Petal School Clinic Past Accepting new patients
N R Burger School and Community Clinic Past Accepting new patients
Semrhi Mobile Healthcare Unit Past Accepting new patients
Hattiesburg High School and Community Clinic Past Accepting new patients
Lumberton Family Health Center Past Accepting new patients
Seminary Family Health Center Past Accepting new patients
Hattiesburg Public School and Community Clinic Past Accepting new patients
Brooklyn Family Health Center Past Accepting new patients
Minor Care Clinic Past Accepting new patients
Beaumont Family Health Center Past Accepting new patients
New Augusta Family Health Center Past Accepting new patients
Semrhi Support Service Center Past Accepting new patients
Lamar County School Clinic Past Accepting new patients
Women'S Health Center Past Accepting new patients
Picayune Family Health Center Past Accepting new patients

Locations (25 of 46)

2153 Dept 5136 Box
Birmingham, AL 35287

8 Burborne St
Brooklyn, MS 39425
Phone (601) 545-7714

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500

605 Stadium Dr
Hattiesburg, MS 39401
Phone (601) 450-0310

1760 Old Highway 24
Hattiesburg, MS 39402
Phone (601) 264-6724

693 Eatonville Rd
Hattiesburg, MS 39401
Phone 60125526602217

404 Lillie Burney St
Hattiesburg, MS 39401
Phone (601) 450-6500

526 Forrest St
Hattiesburg, MS 39401
Phone (601) 583-4311

2207 W 7th St
Hattiesburg, MS 39401
Phone (601) 450-6500

70 Leaf Ln
Hattiesburg, MS 39402
Phone (601) 264-9764

316 Travillion Rd
Hattiesburg, MS 39401
Phone (601) 584-9303

123 S 27th Ave
Hattiesburg, MS 39401
Phone (601) 450-3030

2543 Old Highway 24
Hattiesburg, MS 39402
Phone (601) 264-4634

301 Hutchinson Ave
Hattiesburg, MS 39401
Phone (601) 450-6101

62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550

2900 Jamestown Rd
Hattiesburg, MS 39402
Phone (601) 255-2660

2006 Oferral St
Hattiesburg, MS 39401
Phone (601) 583-8112

103 S 19th Ave
Hattiesburg, MS 39401
Phone (601) 544-4222

790 Elks Lake Rd
Hattiesburg, MS 39401
Phone (601) 582-4890

702 Eatonville Rd
Hattiesburg, MS 39401

901 Ida Ave
Hattiesburg, MS 39401
Phone (601) 582-5291

5279 W 4th St
Hattiesburg, MS 39402
Phone (601) 264-3858

5198 Old Highway 11
Hattiesburg, MS 39402
Phone (601) 264-7232

10 Archie Smith Rd
Hattiesburg, MS 39402
Phone (601) 268-2217

Interoperability endpoints

  • Direct secure messaging: klee99117@directpatientrecord.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R850033 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

64 Old Airport Rd
Hattiesburg, MS 39401-8382

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
06576706MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2024.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1386930477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-450-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-909-9390",
            "fax_number": "601-909-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAREN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R850033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06576706",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.