Mija Lee

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9329897 Issued in FL

Practice address

3890 Coquina Key Dr. S.E.
St. Petersburg, FL 33705-4122

Phone

(727) 821-2877

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1760901425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 COQUINA KEY DR SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 COQUINA KEY DR. S.E.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337054122",
            "telephone_number": "727-821-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9329897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lee
• Lauri B Lee, P.T., DPT
• Lonnisha Shantell Lee
• Madison Lee, MA, CCC-SLP
• Martin Kind-Man Lee, MS, OTR/L
• Monica R Lee, M.D.
• Parker Elizabeth Lee, DC
• Paul R Lee
• Rachelle Angelina Lee, OTR/L
• Samantha Tang Lee

• Family Nurse Practitioner in St. Petersburg, FL
• Providers in St. Petersburg, 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 Sep 13, 2017; 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.