Individual provider Active NPI

Thania Ignatia Lee, N.P.

  • Registered Nurse
  • New York, NY
National Provider Identifier
1477937563
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN95060174 Issued in CA
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

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628002474 CA Practitioner - Nurse Practitioner 8729365895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN95060174CAMDRegistered Nurse
691413NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce Tatelman MD, Inc. CurrentSince Sep 16, 2025 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

  • Direct secure messaging: thania.lee@1016648957956.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.