Individual provider Active NPI

Min Kyung Lee

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1609233287
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130097 Issued in TX
Practice address
2405 S Stemmons Fwy Ste 230
Lewisville, TX 75067-8776
Phone
(469) 293-4606
Fax
(469) 240-1334
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130097 TX Primary

Addresses

Primary practice location

2405 S Stemmons Fwy Ste 230
Lewisville, TX 75067-8776

Mailing address

2405 S Stemmons Fwy Ste 230
Lewisville, TX 75067-8776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000998 TX Practitioner - Nurse Practitioner 6305137373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2405 S Stemmons Fwy
Suite 230
Lewisville, TX 75067-8776
Phone (805) 878-1689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130097TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SWJ Health Services PLLC Family CurrentSince Oct 1, 2024 Accepting new patients

Locations

2405 S Stemmons Fwy
Ste 230
Lewisville, TX 75067
Phone (469) 293-4606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1609233287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 S STEMMONS FWY STE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 S STEMMONS FWY STE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678776",
            "telephone_number": "469-293-4606",
            "fax_number": "469-240-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIN KYUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.