Young Suk Lee, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

549637 Issued in TX

Practice address

11661 Preston Rd Ste 218
Dallas, TX 75230-6173

Phone

(214) 363-1571

NPI assigned

Mar 4, 2012

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301
  Medicare reassignment NPD

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1821362112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 MANOR OAKS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482241",
            "telephone_number": "214-909-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD STE 218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306173",
            "telephone_number": "214-363-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7114 Manor Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752482241",
            "country_code": "US",
            "telephone_number": "214-909-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNG",
        "middle_name": "SUK",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "549637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee
• William Martens Lee, MD
• Won Young Lee, M.D.
• Yitzhak Lee, DO
• Young Jung Lee, FNP
• Youngjun Lee
• Ysabel Hongyue Lee, PA-C
• Leecay Care Ventures LLC (Texas Care Oak Cliff)
• Lara Leedom
• Steven Gary Leeds, M.D.

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.