Individual provider Active NPI

Karen L. Lee, RN, PMHCNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1790704427
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R38297 Issued in NM
Practice address
1980 E Lohman Ave Ste B
Las Cruces, NM 88001-3194
Phone
(575) 800-5902
Fax
(575) 888-4136
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R38297 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R38297 NM Primary

Addresses

Primary practice location

1980 E Lohman Ave Ste B
Las Cruces, NM 88001-3194

Mailing address

1980 E Lohman Ave Ste B
Las Cruces, NM 88001-3194
Phone (575) 800-5902

Other identifiers 1

IdentifierTypeStateIssuer
65621271MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040712000194 NM Practitioner - Certified Clinical Nurse Specialist (CNS) 0244218220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1980 E Lohman Ave
Suite B
Las Cruces, NM 88001-3194
Phone (575) 800-5902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R38297NMMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Lee's Psychiatric Health Care CurrentSince Jul 8, 2004 Accepting new patients
Southwest Cares NV LLC PastSince May 1, 2010 Accepting new patients
Fiszbein Inc PastSince May 1, 2012 Accepting new patients

Locations

1100 S Main St
Ste 112
Las Cruces, NM 88005
Phone (505) 525-8250

1980 E Lohman Ave
Ste B
Las Cruces, NM 88001
Phone (575) 800-5902

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1790704427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 E LOHMAN AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013194",
            "telephone_number": "575-800-5902",
            "fax_number": "575-888-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 E LOHMAN AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013194",
            "telephone_number": "575-800-5902",
            "fax_number": "575-888-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAREN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "RN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "R38297",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "R38297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65621271",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.