Active NPI
Lisa Mari Lee, A.P.R.N, MSN
- Family Nurse Practitioner
- Rocky Hill, CT
National Provider Identifier
1912970864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 003302
- Practice address
- 400 Capital Blvd
Rocky Hill, CT 06067-3576 - Phone
- (860) 305-5420
- NPI assigned
- Feb 10, 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 | 003302 | CT | Primary |
Addresses
Primary practice location
400 Capital Blvd
Rocky Hill, CT 06067-3576
Mailing address
60 Westview Ter
Shelton, CT 06484-3856
Phone (203) 736-1575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004253944 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003302 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1912970864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WESTVIEW TER",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843856",
"telephone_number": "203-736-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CAPITAL BLVD",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673576",
"telephone_number": "860-305-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LISA",
"middle_name": "MARI",
"name_prefix": "Mrs.",
"credential": "A.P.R.N, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004253944",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.