Individual provider Active NPI

Kristin Alyce Lee, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1649897497
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015348 Issued in KY
Practice address
201 Park St
Bowling Green, KY 42101-1708
Phone
(270) 781-5111
Fax
(270) 783-3748
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 240752 TN
Nurse Practitioner 363L00000X 3015348 KY
Family Nurse Practitioner 363LF0000X 28531 TN
Family Nurse Practitioner 363LF0000X 3015348 KY Primary

Addresses

Primary practice location

201 Park St
Bowling Green, KY 42101-1708

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

Other practice location 1

101 W Roberts St
Morgantown, KY 42261-7942
Phone (270) 781-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20201123001809 KY Practitioner - Nurse Practitioner 8224449285 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

250 Park St
Bowling Green, KY 42101-1795
Phone (270) 745-1000

825 2ND Ave
Suite B1
Bowling Green, KY 42101-1790
Phone (270) 796-3330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240752TNMDRegistered Nurse
3015348KYMDFamily Nurse Practitioner
28531TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zipclinic, PSC CurrentSince Oct 11, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Commonwealth Health Corporation, Inc Nurse Practitioner Current Accepting new patients
Commonwealth Health Corporation, Inc. Nurse Practitioner CurrentSince Apr 27, 2026 Accepting new patients
Graves Gilbert Clinic PLLC Nurse Practitioner CurrentSince Jan 11, 2021 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 11, 2021 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Apr 27, 2026 Accepting new patients

Locations

2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

101 W Roberts St
Morgantown, KY 42261
Phone (270) 526-3841

Interoperability endpoints

  • Direct secure messaging: kristinlee@ggc.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1649897497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111",
            "fax_number": "270-783-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Roberts St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "KY",
            "postal_code": "422617942",
            "country_code": "US",
            "telephone_number": "270-781-5111",
            "fax_number": "270-783-3748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KRISTIN",
        "middle_name": "ALYCE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "240752",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015348",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28531",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.