Active NPI
Cheryl Renea Lee, FNP
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1982229670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23961
- Practice address
- 11 Pointe Cir
Greenville, SC 29615-3505 - Phone
- (864) 235-6788
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 23961 | SC | Primary |
Addresses
Primary practice location
11 Pointe Cir
Greenville, SC 29615-3505
Mailing address
105 Georgetown Way
Easley, SC 29640-8304
Phone (864) 551-8080
Other practice location 1
200 N Highway 25
Travelers Rest, SC 29690-2300
Phone (864) 834-7269
Other practice location 2
105 Georgetown Way
Easley, SC 29640-8304
Phone (864) 551-8080
Other practice location 3
16 Accountants Cir
Seneca, SC 29678-2670
Phone (864) 882-8448
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201204000450 | SC | Practitioner - Nurse Practitioner | 7719307180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1982229670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GEORGETOWN WAY",
"city": "EASLEY",
"state": "SC",
"postal_code": "296408304",
"telephone_number": "864-551-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 POINTE CIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153505",
"telephone_number": "864-235-6788"
}
],
"practiceLocations": [
{
"address_1": "200 N Highway 25",
"address_purpose": "LOCATION",
"city": "Travelers Rest",
"state": "SC",
"postal_code": "296902300",
"country_code": "US",
"telephone_number": "864-834-7269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Georgetown Way",
"address_purpose": "LOCATION",
"city": "Easley",
"state": "SC",
"postal_code": "296408304",
"country_code": "US",
"telephone_number": "864-551-8080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Accountants Cir",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296782670",
"country_code": "US",
"telephone_number": "864-882-8448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "CHERYL",
"middle_name": "RENEA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.