Kenia Victoria Lee, PNP

Primary specialty

Perinatal Nurse PractitionerTaxonomy code 363LP1700X

License

AP110044 Issued in TX

Practice address

806 W 3Rd St
San Juan, TX 78589

Phone

(956) 787-8915

Fax

(956) 787-2021

NPI assigned

Jul 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Nuestra Clinica del Valle Inc

  • Federally Qualified Health Center (FQHC)
  • Mercedes, TX
  • NPI 1235267949
  NPD (past)
• Nuestra Clinica del Valle, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, TX
  • NPI 1053728360
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1598763450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 1ST ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892276",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W 3RD ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785726285",
            "country_code": "US",
            "telephone_number": "956-580-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENIA",
        "middle_name": "VICTORIA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "TX",
            "license": "AP110044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320648401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindred Spirit Social & Community Services
• Matthew Kwong, DMD
• L4 Family Investments, LLC.
• Samantha Landa
• Lauren Y Choi LCSW PLLC
• Legacy Smiles of San Juan PLLC
• Life Skills Therapy Center
• Lifechek Dennison LLC
• Line Care Health Services, LLC.
• Liquid Dental, PLLC

• Nurse Practitioner in San Juan, TX
• Providers in San Juan, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.