Patrick Kyle Lee

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3001 Jonquilla CT
Herndon, VA 20171-2203

Phone

(703) 258-9371

NPI assigned

Jun 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1568350353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 JONQUILLA CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712203",
            "telephone_number": "703-258-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JONQUILLA CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712203",
            "telephone_number": "703-258-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICK",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunjoo Lee, BCBA
• Hon K. Lee, L.AC., DIPL.O.M.
• Kevin J Lee, MD
• Kyung Jae Lee, D.C
• Matthew Lee, D.C.
• Legacy Dental Implant of Herndon
• Legacy Healing & Therapy Services LLC
• Legacy Hustle Care Solutions Inc
• Barbara Jean Lennon, LCSW
• Rachel Arlene Leopold

• Student in an Organized Health Care Education/Training Program in Herndon, VA
• Providers in Herndon, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.