Active NPI
Alina Lee, CPNP-PC
- Pediatric Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1457021016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R215617
- Practice address
- 6630 Marie Curie Dr
Elkridge, MD 21075-6402 - Phone
- (571) 370-5437
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024182706 | VA | |
| Pediatric Nurse Practitioner | 363LP0200X | R215617 | MD | Primary |
Addresses
Primary practice location
6630 Marie Curie Dr
Elkridge, MD 21075-6402
Mailing address
6630 Marie Curie Dr
Elkridge, MD 21075-6402
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 |
|---|---|---|---|
| R215617 | MD | MD | Pediatric Nurse Practitioner |
| 0024182706 | VA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1457021016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 MARIE CURIE DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 MARIE CURIE DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756402",
"telephone_number": "571-370-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALINA",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024182706",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R215617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.