Jacquelyn Paige Antonell Lee, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11014917 Issued in FL

Practice address

2188 58TH St N
Clearwater, FL 33760-3112

Phone

(727) 327-7656

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jlee757036@direct.hopkinsmedicine.org

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1760115042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 49TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034119",
            "telephone_number": "786-285-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603112",
            "telephone_number": "727-327-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACQUELYN",
        "middle_name": "PAIGE ANTONELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Leding, ARNP
• Diana Ledonni-Kopec, RPAC
• Lee Ann Brown DO PA
• Lee D. Smith, DPM, PA
• Clara Lee
• James Zongyu Lee
• Janet Lee
• Kathleen Lee
• Kira Nicole Lee
• Robin Anne Lee, LMHC

• Family Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.