Active NPI
Bonnie Jean Lees, MD
- Neonatal-Perinatal Medicine Physician
- Omaha, NE
National Provider Identifier
1518959295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25692
- Practice address
- 8200 Dodge Street
Children's Hospital & Medicare Center
Omaha, NE 68114-4113 - Phone
- (402) 955-6140
- Fax
- (402) 955-3398
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 14359 | OR | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 38163 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4680 | NV | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 9568 | ND | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 30574 | KS | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 47431 | MN | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2005021462 | MO | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 0430574 | KS | |
| Pediatrics Physician | 208000000X | 0430574 | KS | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25692 | NE | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 31185 | ZZ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 23313 | CT | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 12091 | MT |
Addresses
Primary practice location
8200 Dodge Street
Children's Hospital & Medicare Center
Omaha, NE 68114-4113
Mailing address
8200 Dodge Street
Omaha, NE 68114-4113
Phone (402) 955-6140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131151 | Medicaid | OR | |
| 200261300A | Medicaid | KS | |
| XPY023900 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38163 | CA | MD | Licensed Psychiatric Technician |
| 23313 | CT | MD | Neonatal-Perinatal Medicine Physician |
| 0430574 | KS | MD | Neonatal-Perinatal Medicine Physician |
| 30574 | KS | MD | Neonatal-Perinatal Medicine Physician |
| 2005021462 | MO | MD | Neonatal-Perinatal Medicine Physician |
| 12091 | MT | MD | Neonatal-Perinatal Medicine Physician |
| 4680 | NV | MD | Neonatal-Perinatal Medicine Physician |
| 14359 | OR | MD | Neonatal-Perinatal Medicine Physician |
| 31185 | ZZ | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1518959295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-6140",
"fax_number": "402-955-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE STREET",
"address_2": "CHILDREN'S HOSPITAL & MEDICARE CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-6140",
"fax_number": "402-955-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEES",
"first_name": "BONNIE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OR",
"license": "14359",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "38163",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NV",
"license": "4680",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "ND",
"license": "9568",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KS",
"license": "30574",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MN",
"license": "47431",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2005021462",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KS",
"license": "0430574",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "0430574",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NE",
"license": "25692",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "ZZ",
"license": "31185",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CT",
"license": "23313",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MT",
"license": "12091",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131151",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200261300A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY023900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.