Active NPI
Joan M Lee, B.S.N. , R.N.
- Psychiatric/Mental Health Registered Nurse
- Oshkosh, WI
National Provider Identifier
1821371105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 68566-30
- Practice address
- 220 Washington Ave
Oshkosh, WI 54901-5030 - Phone
- (920) 236-4700
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 68566-30 | WI | Primary |
Addresses
Primary practice location
220 Washington Ave
Oshkosh, WI 54901-5030
Mailing address
220 Washington Ave
Oshkosh, WI 54901-5030
Phone (920) 236-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42139300WI | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68566-30 | WI | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1821371105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WASHINGTON AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015030",
"telephone_number": "920-236-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WASHINGTON AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015030",
"telephone_number": "920-236-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOAN",
"middle_name": "M",
"credential": "B.S.N. , R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WI",
"license": "68566-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42139300WI",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.