Individual provider Active NPI

Yoonie Lee, CNM

  • Advanced Practice Midwife
  • San Tan Valley, AZ
National Provider Identifier
1609671395
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0000000 Issued in AZ
Practice address
36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7334
Phone
(480) 987-5500
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0000000 AZ Primary

Addresses

Primary practice location

36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7334

Mailing address

36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7334
Phone (480) 987-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313001972 AZ Practitioner - Certified Nurse Midwife (CNM) 9436671948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hera Health Medical Group - Az PLLCGroup PAC ID 8729458864, 6 clinicians

Practice addresses (Care Compare)

36375 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7334
Phone (480) 987-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0000000AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hera Health Medical Group - Az PLLC CurrentSince Mar 5, 2025 Accepting new patients
Banner Ironwood Medical Center Past Accepting new patients

Locations

2222 E Highland Ave
Ste 210
Phoenix, AZ 85016
Phone (480) 661-1332

36375 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 987-5500

Interoperability endpoints

  • Direct secure messaging: yoonie.lee.1@27149.direct.athenahealth.com

Organizations & group practices 2

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1609671395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36375 N GANTZEL RD STE 103",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407334",
            "telephone_number": "480-987-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36375 N GANTZEL RD STE 103",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407334",
            "telephone_number": "480-987-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOONIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.