Active NPI
Esther Tae Lee
- College Health Registered Nurse
- College Park, MD
National Provider Identifier
1447477351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- College Health Registered Nurse
- License
- R075161
- Practice address
- University of Maryland Health Ctr
140 Campus Drive
College Park, MD 20742-0001 - Phone
- (301) 314-8157
- Fax
- (301) 314-8590
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | R075161 | MD | Primary |
Addresses
Primary practice location
University of Maryland Health Ctr
140 Campus Drive
College Park, MD 20742-0001
Mailing address
9114 Saint Andrews PL
College Park, MD 20740-4026
Phone (301) 935-4825
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 |
|---|---|---|---|
| R075161 | MD | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447477351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 SAINT ANDREWS PL",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207404026",
"telephone_number": "301-935-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF MARYLAND HEALTH CTR",
"address_2": "140 CAMPUS DRIVE",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207420001",
"telephone_number": "301-314-8157",
"fax_number": "301-314-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ESTHER",
"middle_name": "TAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "MD",
"license": "R075161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
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.