Individual provider Active NPI

Katherine Lee, CRNP-FAMILY

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1700506466
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R229255 Issued in MD
Practice address
9601 Blackwell Rd Ste 210
Rockville, MD 20850-6491
Phone
(301) 200-1687
NPI assigned
Sep 1, 2022
Last updated
Dec 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R229255 MD Primary

Addresses

Primary practice location

9601 Blackwell Rd Ste 210
Rockville, MD 20850-6491

Mailing address

9601 Blackwell Rd Ste 210
Rockville, MD 20850-6491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230509001133 DC Practitioner - Nurse Practitioner 7214392604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors First, LLCGroup PAC ID 3870661978, 58 clinicians

Practice addresses (Care Compare)

806 W Diamond Ave
Suite 110
Gaithersburg, MD 20878-1478
Phone (301) 515-2901

Merit-based Incentive Payment System (MIPS)

Final score
93.69 of 100Reported as group
Quality
92.2
Promoting interoperability
100
Improvement activities
40
Cost
81.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R229255MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors First, LLC CurrentSince Oct 1, 2024 Accepting new patients
Doctors First, LLC CurrentSince Oct 1, 2024 Accepting new patients
Chinese Culture and Community Service Center, Inc. PastSince May 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

806 W Diamond Ave
Ste 110
Gaithersburg, MD 20878
Phone (240) 342-2407

9601 Blackwell Rd
Ste 210
Rockville, MD 20850
Phone (301) 200-1091

Interoperability endpoints

  • Direct secure messaging: katherine.lee.1@4332.direct.athenahealth.com

Organizations & group practices 4

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1700506466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 210",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 210",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506491",
            "telephone_number": "301-200-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATHERINE",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.