Individual provider Active NPI

Andrea Danielle Lee, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Altos, CA
National Provider Identifier
1700167681
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036065 Issued in CA
Practice address
4546 El Camino Real Ste B7
Los Altos, CA 94022-1069
Phone
(866) 362-4246
Fax
(650) 260-6030
NPI assigned
Sep 6, 2011
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95036065 CA Primary
Registered Nurse 163W00000X RN0000182403 TN

Addresses

Primary practice location

4546 El Camino Real Ste B7
Los Altos, CA 94022-1069

Mailing address

1324 W Main St
Franklin, TN 37064-3784
Phone (615) 794-1542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250917003590 CA Practitioner - Nurse Practitioner 1759885304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Behavioral Health and Medicine IncGroup PAC ID 4385021393, 18 clinicians

Practice addresses (Care Compare)

4149 El Camino Way
Suite a
Palo Alto, CA 94306-4036
Phone (866) 362-4246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000182403TNMDRegistered Nurse
95036065CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Behavioral Health & Medicine, Inc. Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
United Psychiatry, Inc. Single Specialty Past Accepting new patients

Locations

4546 El Camino Real
Ste B10740
Los Altos, CA 94022
Phone (866) 362-4246

4546 El Camino Real
Ste B7
Los Altos, CA 94022
Phone (650) 600-0107

4149 El Camino Way
Ste 101
Palo Alto, CA 94306

4149 El Camino Way
Ste A
Palo Alto, CA 94306

5432 Geary Blvd
San Francisco, CA 94121
Phone (415) 702-0228

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1700167681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W MAIN ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643784",
            "telephone_number": "615-794-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "866-362-4246",
            "fax_number": "650-260-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036065",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000182403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.