Individual provider Active NPI

Cheryl Renea Lee, FNP

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1982229670
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23961 Issued in SC
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

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.