NPIMap

Individual provider Active NPI

Pamela Yvette Lee, ARNP

  • Family Nurse Practitioner
  • Gulf Breeze, FL
National Provider Identifier
1467763326
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9253480 Issued in FL
Practice address
2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091
Phone
(509) 345-7138
Fax
(850) 934-0379
NPI assigned
Jun 25, 2010
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9253480 FL Primary

Addresses

Primary practice location

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091

Mailing address

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091
Phone (850) 934-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000795 FL Practitioner - Nurse Practitioner 5092846162 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care House Calls PAGroup PAC ID 8325263270, 14 clinicians

Practice addresses (Care Compare)

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091
Phone (850) 934-5713

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
White-Wilson Medical Center PA CurrentSince Dec 9, 2022 Accepting new patients
Primary Care House Calls PA Family CurrentSince Nov 20, 2023 Accepting new patients

Locations

990 Airport Rd
Destin, FL 32541
Phone (850) 269-6400

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 313-9046

Interoperability endpoints

  • Direct secure messaging: pamela.lee.1@30358.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1467763326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633091",
            "telephone_number": "850-934-5713",
            "fax_number": "850-934-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633091",
            "telephone_number": "509-345-7138",
            "fax_number": "850-934-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAMELA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9253480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.