Active NPI
Walter T Lee, CRNA
- Certified Registered Nurse Anesthetist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 18551
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-5614 - Phone
- (615) 936-2000
- NPI assigned
- Jan 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 367087 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 12130 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 18551 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-5614
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000
Other practice location 1
1301 Medical Center Dr
Suite 4648 TVC
Nashville, TN 37232-5614
Phone (615) 343-6336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3122516 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wlee27471@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 367087 | OH | MD | Registered Nurse |
| 12130 | OH | MD | Certified Registered Nurse Anesthetist |
| 18551 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vanderbilt University Medical Center | Current | Accepting new patients | |
| Ophthalmic Anesthesia Associates Inc | Past | Accepting new patients |
Locations
Dept A T 40379
Atlanta, GA 31192
Dept AT 40379
Atlanta, GA 31192
200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
1301 Medical Center Dr
Ste 4648
Nashville, TN 37232
Phone (615) 343-6336
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1023069515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1548565732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"telephone_number": "615-936-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372325614",
"telephone_number": "615-936-2000"
}
],
"practiceLocations": [
{
"address_1": "1301 Medical Center Dr",
"address_2": "Suite 4648 TVC",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372325614",
"country_code": "US",
"telephone_number": "615-343-6336",
"fax_number": "615-343-1966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "WALTER",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-19",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "367087",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "12130",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "18551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3122516",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wlee27471@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372325614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.