Active NPI
Vickie Aletta Lee, MSN, NP
- Family Nurse Practitioner
- Jackson, MS
National Provider Identifier
1861593295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN153467
- Practice address
- 1500 E Woodrow Wilson Dr
GV Sonny Montgomery VA Medical Center
Jackson, MS 39216-5199 - Phone
- (800) 949-1009
- Fax
- (601) 368-3851
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN153467 | GA | Primary |
Addresses
Primary practice location
1500 E Woodrow Wilson Dr
GV Sonny Montgomery VA Medical Center
Jackson, MS 39216-5199
Mailing address
151 Vineyard Blvd
Brandon, MS 30947
Phone (800) 949-1009
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153467 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861593295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 VINEYARD BLVD",
"city": "BRANDON",
"state": "MS",
"postal_code": "30947",
"telephone_number": "800-949-1009",
"fax_number": "601-368-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E WOODROW WILSON DR",
"address_2": "GV SONNY MONTGOMERY VA MEDICAL CENTER",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165199",
"telephone_number": "800-949-1009",
"fax_number": "601-368-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "VICKIE",
"middle_name": "ALETTA",
"name_prefix": "Ms.",
"credential": "MSN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN153467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.