Active NPI
Thania Ignatia Lee, N.P.
- Registered Nurse
- New York, NY
National Provider Identifier
1477937563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN95060174
- Practice address
- 60 Haven Ave
276 Bard
New York, NY 10032-2604 - Phone
- (510) 908-4621
- NPI assigned
- Jul 17, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 691413 | NY | |
| Registered Nurse | 163W00000X | RN95060174 | CA | Primary |
Addresses
Primary practice location
60 Haven Ave
276 Bard
New York, NY 10032-2604
Mailing address
60 Haven Ave
276 Bard
New York, NY 10032-2604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95060174 | CA | MD | Registered Nurse |
| 691413 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyce Tatelman MD, Inc. | Current | Accepting new patients | |
| El Camino Health Medical Network, LLC | Past | Accepting new patients |
Locations
2204 Grant Rd
Ste 104
Mountain View, CA 94040
Phone (650) 528-5110
Interoperability endpoints
- thania.lee@1016648957956.direct.elationemr.com
- tlee371495@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Clinic/Center
- Mountain View, CA
- NPI 1033531652
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1477937563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HAVEN AVE",
"address_2": "276 BARD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HAVEN AVE",
"address_2": "276 BARD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322604",
"telephone_number": "510-908-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "THANIA",
"middle_name": "IGNATIA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "691413",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN95060174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.