Active NPI
Charice Lee, BSN, RN-BC
- Registered Nurse
- Sierra Vista, AZ
National Provider Identifier
1669928362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1136800
- Practice address
- 2240 Winrow Ave
USA Medacc, Rwbahc
Sierra Vista, AZ 85613 - Phone
- (520) 533-7568
- Fax
- (520) 533-5328
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- 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 Nurse | 163W00000X | 1136800 | KY | Primary |
Addresses
Primary practice location
2240 Winrow Ave
USA Medacc, Rwbahc
Sierra Vista, AZ 85613
Mailing address
2240 Winrow Ave
USA Medacc, Rwbahc
Sierra Vista, AZ 85613
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1136800 | KY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1669928362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 WINROW AVE",
"address_2": "USA MEDACC, RWBAHC",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 WINROW AVE",
"address_2": "USA MEDACC, RWBAHC",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85613",
"telephone_number": "520-533-7568",
"fax_number": "520-533-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARICE",
"credential": "BSN, RN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1136800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.