Individual provider Active NPI

Cynthia Renee' Morehead-Lee, RN

  • General Practice Registered Nurse
  • Pueblo, CO
National Provider Identifier
1629388517
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
196840 Issued in CO
Practice address
721 S Norwood Ave
Pueblo, CO 81001-5801
Phone
(888) 492-0677
Fax
(866) 493-9431
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 196840 CO Primary

Addresses

Primary practice location

721 S Norwood Ave
Pueblo, CO 81001-5801

Mailing address

721 S Norwood Ave
Pueblo, CO 81001-5801
Phone (888) 492-0677

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
196840COMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1629388517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S NORWOOD AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810015801",
            "telephone_number": "888-492-0677",
            "fax_number": "866-493-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S NORWOOD AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810015801",
            "telephone_number": "888-492-0677",
            "fax_number": "866-493-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHEAD-LEE",
        "first_name": "CYNTHIA",
        "middle_name": "RENEE'",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "196840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.