Individual provider Active NPI

Hannah Lea Lee, APRN

  • Gerontology Nurse Practitioner
  • Milton, FL
National Provider Identifier
1679154199
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11012369 Issued in FL
Practice address
6088 Berryhill Rd
Milton, FL 32570-5062
Phone
(850) 477-8109
Fax
(850) 476-5313
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11012369 FL Primary

Addresses

Primary practice location

6088 Berryhill Rd
Milton, FL 32570-5062

Mailing address

4828 N Davis Hwy
Pensacola, FL 32503-2341
Phone (850) 477-8109

Other practice location 1

4531 N Davis Hwy
Pensacola, FL 32503-2770
Phone (850) 436-4563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210621000377 FL Practitioner - Nurse Practitioner 9436559945 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012369FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Pensacola PA CurrentSince Jun 1, 2021 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Feb 1, 2022 Accepting new patients

Locations

6088 Berryhill Rd
Milton, FL 32570
Phone (850) 477-8109

4828 N Davis Hwy
Pensacola, FL 32503

4531 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-5577

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1679154199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032341",
            "telephone_number": "850-477-8109",
            "fax_number": "850-476-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6088 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705062",
            "telephone_number": "850-477-8109",
            "fax_number": "850-476-5313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4531 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032770",
            "country_code": "US",
            "telephone_number": "850-436-4563",
            "fax_number": "850-436-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HANNAH",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11012369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.