April W Lee, D.C.
Individual provider Active NPI Chiropractor · Shalimar, FL
NPI 1720072341 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1720072341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH9247 (FL)
- Practice address
- 60 2ND St Unit C-7
Shalimar, FL 32579-1769 - Phone
- (850) 613-4125
- NPI assigned
- Sep 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Bluewater Chiropractic Wellness Center LLC
Practice addresses (Care Compare)
60 2ND St
Unit C 7
Shalimar, FL 32579-1769
Phone (850) 613-4125
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090205000242 | FL | Practitioner - Chiropractic | 2365495728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29554 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluewater Chiropractic Wellness Center LLC | Current |
Accepting new patients |
Locations
4400 E Highway 20
Ste 207
Niceville, FL 32578
Phone (850) 806-2440
60 2nd St
Unit C7
Shalimar, FL 32579
Phone (850) 613-4125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29554 | CA | |
| Chiropractor | 111N00000X | CH9247 | FL | Yes |
Addresses
Primary practice location
60 2ND St Unit C-7
Shalimar, FL 32579-1769
Mailing address
60 2ND St Unit C-7
Shalimar, FL 32579-1769
Phone (850) 613-4125
Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.