Active NPI
Maxine Lee
- Family Nurse Practitioner
- Flushing, NY
National Provider Identifier
1891221024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338423
- Practice address
- 13966 35TH Ave
Flushing, NY 11354-3524 - Phone
- (347) 416-4108
- NPI assigned
- May 9, 2017
- 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 | F338423 | NY | Primary |
Addresses
Primary practice location
13966 35TH Ave
Flushing, NY 11354-3524
Mailing address
13437 166TH PL
Apt 4H
Jamaica, NY 11434-3852
Phone (718) 978-0984
Other names 1
- Ms. Maxine Lee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338423 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1891221024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13437 166TH PL",
"address_2": "APT 4H",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343852",
"telephone_number": "718-978-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13966 35TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543524",
"telephone_number": "347-416-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MAXINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-09",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAXINE",
"last_name": "LEE",
"prefix": "MS.",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.