Individual provider Active NPI

Christine Lee, FNP-BC

  • Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1417797572
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R233311 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1250
Chevy Chase, MD 20815-4314
Phone
(301) 652-1231
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R233311 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1250
Chevy Chase, MD 20815-4314

Mailing address

19763 Green Village Dr
Montgomery Village, MD 20886
Phone (410) 627-2458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250728003999 DC Practitioner - Nurse Practitioner 8820513872 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Women'S Health and Minimally Invasive Surgery, Inc. CurrentSince Jul 9, 2025 Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1201
Chevy Chase, MD 20815
Phone (301) 652-1231

5530 Wisconsin Ave
Ste 1250
Chevy Chase, MD 20815
Phone (301) 652-1231

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9714/brand/1/csg/1/fhir/r4

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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1417797572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19763 GREEN VILLAGE DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "20886",
            "telephone_number": "410-627-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1250",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154314",
            "telephone_number": "301-652-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R233311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.