Individual provider Active NPI

Ryann Charisse Lee, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1962914101
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1074287 Issued in TX
Practice address
700 Milam St Ste 13071
Houston, TX 77002-2806
Phone
(843) 676-5650
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21364 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1074287 TX Primary

Addresses

Primary practice location

700 Milam St Ste 13071
Houston, TX 77002-2806

Mailing address

3328 E Linda Dr
Florence, SC 29506-4007

Other practice location 1

609 N Main St
Marion, SC 29571-3033
Phone (843) 676-5650

Other practice location 2

1400 16th St Ste 400
Denver, CO 80202-5995
Phone (843) 676-5650

Other practice location 3

460 King St Ste 200
Charleston, SC 29403-6229
Phone (415) 671-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20181025002849 SC Practitioner - Nurse Practitioner 4789937467 Practice locations: Florence, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1074287TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Provider Group Inc. Current Accepting new patients
Joint Solutions, LLC CurrentSince Aug 1, 2021 Accepting new patients
Joint Solutions, LLC Psychiatric/Mental Health CurrentSince Feb 8, 2023 Accepting new patients
Open Hands Doctors Family Practice LLC CurrentSince Dec 12, 2021 Accepting new patients
Bicycle Health Medical Group PA PastSince Feb 8, 2023 Accepting new patients
Affect Provider Group, P.S.C. Psychiatric/Mental Health Past Accepting new patients
Max Primary Care LLC PastSince May 1, 2022 Accepting new patients

Locations

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

300 Rainbow Dr
Ste 102
Florence, SC 29501
Phone (843) 799-1868

Interoperability endpoints

  • Direct secure messaging: ryann.lee.1@18731.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1962914101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 E LINDA DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295064007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MILAM ST STE 13071",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022806",
            "telephone_number": "843-676-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "SC",
            "postal_code": "295713033",
            "country_code": "US",
            "telephone_number": "843-676-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 16th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025995",
            "country_code": "US",
            "telephone_number": "843-676-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 King St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294036229",
            "country_code": "US",
            "telephone_number": "415-671-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "RYANN",
        "middle_name": "CHARISSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21364",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1074287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.