Active NPI
Thomas Lee, MS RD
- Registered Dietitian
- Yulee, FL
National Provider Identifier
1669109518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86040770
- Practice address
- 85099 Christian Way Apt 114
Yulee, FL 32097-3402 - Phone
- (904) 463-2570
- NPI assigned
- Aug 2, 2022
- Last updated
- Aug 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86040770 | Primary |
Addresses
Primary practice location
85099 Christian Way Apt 114
Yulee, FL 32097-3402
Mailing address
85099 Christian Way Apt 114
Yulee, FL 32097-3402
Phone (904) 463-2570
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1669109518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85099 CHRISTIAN WAY APT 114",
"city": "YULEE",
"state": "FL",
"postal_code": "320973402",
"telephone_number": "904-463-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85099 CHRISTIAN WAY APT 114",
"city": "YULEE",
"state": "FL",
"postal_code": "320973402",
"telephone_number": "904-463-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "THOMAS",
"credential": "MS RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86040770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.