Individual provider Active NPI

Donna Gayle Lee, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1629020581
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201064 Issued in NC
Practice address
1075 E Hudson Blvd
Gastonia, NC 28054-1694
Phone
(704) 864-8749
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 201064 NC Primary

Addresses

Primary practice location

1075 E Hudson Blvd
Gastonia, NC 28054-1694

Mailing address

1075 E Hudson Blvd
Gastonia, NC 28054-1694
Phone (704) 864-8749

Other practice location 1

6750 Wilkinson Blvd
Belmont, NC 28012
Phone (612) 225-1512

Other practice location 2

6750 Wilkinson Blvd
Belmont, NC 28012
Phone (612) 225-1512

Other identifiers 2

IdentifierTypeStateIssuer
1629020581OtherNCNPI
S59051OtherNCUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Urological Associates, P.a. PastSince Jul 17, 1995 Accepting new patients
Carolina Urology Partners PLLC PastSince Mar 1, 2011 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1629020581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541694",
            "telephone_number": "704-864-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541694",
            "telephone_number": "704-864-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 Wilkinson Blvd",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "28012",
            "country_code": "US",
            "telephone_number": "612-225-1512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 Wilkinson Blvd",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "28012",
            "country_code": "US",
            "telephone_number": "612-225-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DONNA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629020581",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S59051",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.