Active NPI
Jae Young Lee, RN
- Critical Care Medicine Registered Nurse
- Gainesville, FL
National Provider Identifier
1447615570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN9348578
- Practice address
- 6500 W Newberry Rd
Cardiovascular Unit
Gainesville, FL 32605-4309 - Phone
- (352) 333-5521
- NPI assigned
- Dec 16, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9348578 | FL | Primary |
Addresses
Primary practice location
6500 W Newberry Rd
Cardiovascular Unit
Gainesville, FL 32605-4309
Mailing address
6500 W Newberry Rd
Cardiovascular Unit
Gainesville, FL 32605-4309
Phone (352) 333-5521
Other names 1
- Jae Lee
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9348578 | FL | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1447615570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 W NEWBERRY RD",
"address_2": "CARDIOVASCULAR UNIT",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054309",
"telephone_number": "352-333-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W NEWBERRY RD",
"address_2": "CARDIOVASCULAR UNIT",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054309",
"telephone_number": "352-333-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAE YOUNG",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9348578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAE",
"last_name": "LEE",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.