Carol A Lee, FNP-C, PHD
Individual provider Active NPI Family Nurse Practitioner · Rowland, NC
NPI 1528081379 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1528081379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 200945 (NC)
- Practice address
- 101 S Bond St Ste B
Rowland, NC 28383-9639 - Phone
- (910) 422-9926
- Fax
- (910) 422-9914
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200945 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol Lee'S Medical Office | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADBBCA/Endpoint/ADBBCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200945 | NC | Yes |
Addresses
Primary practice location
101 S Bond St Ste B
Rowland, NC 28383-9639
Mailing address
411 East Cleveland Street
Dillon, SC 29536
Phone (910) 422-9926
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000427 | Medicaid | NC |
Other providers in Rowland, NC
- Ingram Health Service Manna House Inc
- Ingram Health Services/Manna House,Inc
- Candice Jones
- Schnele Renee Kerns-Locklear
- Natasha Jones Kinto
- Life Enrichment Services Center
- Katrina Locklear
- Marissa Locklear
- Melissa Locklear
- Michelle Lowery
All providers in Rowland, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.