Active NPI
Karen Lee, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R850033
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hattiesburg, MS
- NPI 1982610572
MS
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1366468266
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1538136940
-
- Federally Qualified Health Center (FQHC)
- Beaumont, MS
- NPI 1831166826
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, MS
- NPI 1659348076
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1760451777
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1023087400
-
- Federally Qualified Health Center (FQHC)
- Purvis, MS
- NPI 1679147847
-
- Federally Qualified Health Center (FQHC)
- Lumberton, MS
- NPI 1164499174
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1508874769
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1518907054
-
- Federally Qualified Health Center (FQHC)
- New Augusta, MS
- NPI 1881661874
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1952724650
-
- Federally Qualified Health Center (FQHC)
- Picayune, MS
- NPI 1003013764
-
- Federally Qualified Health Center (FQHC)
- Seminary, MS
- NPI 1851368260
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1689391815
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1952814469
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1831167998
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R850033 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
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
- klee99117@directpatientrecord.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R850033 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06576706 | Medicaid | MS |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.