Kyung-Hee Stella Lee, MSN PNP

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

AP1060 Issued in AZ

Practice address

2625 N King St Clinical Services
Flagstaff, AZ 86004

Phone

(928) 679-7222

NPI assigned

May 23, 2008

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)

Not enrolled

Credentials

Master of Science - Nursing

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.

• Coconino County Health Department

  • Public Health or Welfare Agency
  • Flagstaff, AZ
  • NPI 1659498848
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1639337876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N KING ST CLINICAL SERVICES",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-679-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N KING ST CLINICAL SERVICES",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-679-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYUNG-HEE",
        "middle_name": "STELLA",
        "credential": "MSN PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "AP1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "910431",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Hyunjae Lee, MD
• Darlene M Lee, M.D.,P.C.
• Douglas Dean Lee, MD
• John Won Lee, LAC
• Kevin W. Lee
• Lana Lee, LPC
• Louelliyn Maria Lee
• Legacy Center for Birth and Wellness
• Ann M Lehn, SLP-CCC
• Linnea Suzanne Lei, ED.D.

• Community Health Registered Nurse in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Community Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.