Active NPI
Jamie Quan Lee, BSN, RN, MSN, CFNP
- Family Nurse Practitioner
- Manhattan Beach, CA
National Provider Identifier
1699968172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15861
- Practice address
- 855 Manhattan Beach Blvd
Suite #201
Manhattan Beach, CA 90266-4965 - Phone
- (310) 939-1893
- Fax
- (310) 939-7861
- NPI assigned
- Aug 20, 2007
- Last updated
- Aug 20, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15861 | CA | Primary |
Addresses
Primary practice location
855 Manhattan Beach Blvd
Suite #201
Manhattan Beach, CA 90266-4965
Mailing address
855 Manhattan Beach Blvd
Suite #201
Manhattan Beach, CA 90266-4965
Phone (310) 939-1893
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, Master of Science - Nursing, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1699968172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MANHATTAN BEACH BLVD",
"address_2": "SUITE #201",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664965",
"telephone_number": "310-939-1893",
"fax_number": "310-939-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MANHATTAN BEACH BLVD",
"address_2": "SUITE #201",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664965",
"telephone_number": "310-939-1893",
"fax_number": "310-939-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAMIE",
"middle_name": "QUAN",
"credential": "BSN, RN, MSN, CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "15861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.