Individual provider Active NPI

Hyoen Joo Joo Lee, NP

  • Nurse Practitioner
  • Timonium, MD
National Provider Identifier
1871859926
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R148114 Issued in MD
Practice address
1 Texas Station CT
Timonium, MD 21093-8286
Phone
(410) 828-7417
Fax
(410) 828-4695
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R148114 MD Primary

Addresses

Primary practice location

1 Texas Station CT
Timonium, MD 21093-8286

Mailing address

1 Texas Station CT
Suite 300
Timonium, MD 21093-8286
Phone (410) 828-7417

Other identifiers 2

IdentifierTypeStateIssuer
236007100MedicaidMD
R148114OtherMDCRNP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130820000332 MD Practitioner - Nurse Practitioner 6800038944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Suite 112
Annapolis, MD 21401-7015
Phone (410) 573-0140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 6, 2017 Accepting new patients
Bay East Endocrinology Associates PA Current Accepting new patients
Bay West Endocrinology Associates CurrentSince Jun 9, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 6, 2017 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1 Texas Station Ct
Timonium, MD 21093
Phone (410) 683-2120

1 Texas Station Ct
Ste 300
Timonium, MD 21093
Phone (410) 683-2110

6535 N Charles St
Ste 400
Towson, MD 21204
Phone (410) 828-7417

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hyeon.joo.lee.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1871859926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT",
            "address_2": "SUITE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938286",
            "telephone_number": "410-828-7417",
            "fax_number": "410-828-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938286",
            "telephone_number": "410-828-7417",
            "fax_number": "410-828-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYOEN JOO",
        "middle_name": "JOO",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R148114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236007100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE NUMBER",
            "identifier": "R148114",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.