Charles Stevens Lee, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

712700 Issued in TX

Practice address

1111 N Ih 35 Ste 204
Round Rock, TX 78664-4244

Phone

(512) 238-6000

Fax

(512) 238-9559

NPI assigned

May 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1790350775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GEYSER AVE",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604020",
            "telephone_number": "512-659-2046",
            "fax_number": "512-238-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N IH 35 STE 204",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644244",
            "telephone_number": "512-238-6000",
            "fax_number": "512-238-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Geyser Ave",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786604020",
            "country_code": "US",
            "telephone_number": "512-659-2046",
            "fax_number": "512-238-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHARLES",
        "middle_name": "STEVENS",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "712700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "712700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Leblanc
• Andrew Lee
• April Rosetta Lee, MSN, RN, FNP-C
• Ashton Lee
• Autumn Lee, PHARMD
• Edward Y. Lee, MD
• Jihwan Lee, DPT
• Lisa Robyn Lee
• Loriel Liwanag Lee
• Patricia C Lee, M.D.

• Home Health Registered Nurse in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.