COLLEEN G LEE (NPI# 1336420132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336420132 |
| Entity Type | Individual |
| Full Name | COLLEEN G LEE |
| Credential | FPMHNP-BC |
| Practice Address |
1931 Nw Military Hwy Ste 206 San Antonio TX 78213-2162 |
| Practice Telephone | 2105804626 |
| Practice Fax Number | 2104687246 |
| Mailing Telephone | 2103867536 |
| Mailing Fax Number | 2104687246 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP120897 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 285462205 | 01 |
| TX | 285462204 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3031 W Ih 10, San Antonio, TX 782015159 | 2107311300 | 2107318678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225156078 | Colleen O. Lee | Nurse Practitioner | 6116 Executive Blvd Suite 609, Rockville, MD 20852 | 2007-03-27 |
| 1568481133 | Colleen Virginia Lee | Counselor | 517 Front Street, Suite D, Lynden, WA 98264 | 2006-07-18 |
| 1871960401 | Colleen Erin Lee | Nurse Practitioner | 730 S 38th Ave, Omaha, NE 68105-1107 | 2015-08-31 |
| 1083001945 | Colleen Lee | Dentist | 15640 Redmond Way, Redmond, WA 98052-3831 | 2015-04-18 |
| 1861799231 | Colleen Lee | Case Manager/Care Coordinator | 310 8th St, Suite 201, Oakland, CA 94607-6526 | 2011-02-22 |
| 1255578423 | Colleen S Lee | Nurse Practitioner | Department of Pediatrics, Msc10 5590 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-01-09 |
| 1942484621 | Colleen L. Lee | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420 | 2007-12-18 |
| 1710078993 | Colleen Insook Lee | Internal Medicine | 1270 Broadway, Ste #405, New York, NY 10001-3211 | 2006-09-27 |
| Street Address |
1931 NW MILITARY HWY STE 206 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78213-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013860 | Juan Jose Chapa Jr. | Counselor | 1931 Nw Military Hwy Ste 206, San Antonio, TX 78213-2162 | 2019-09-27 |
| 1982250585 | Braveheart Mental Health and Wellness | Nurse Practitioner | 1931 Nw Military Hwy Ste 206, San Antonio, TX 78213-2162 | 2019-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1326540816 | Alexus Danielle Tant-quintero | Licensed Vocational Nurse | 1300 Patricia, San Antonio, TX 78213 | 2018-03-01 |
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1104285022 | West Avenue Dental Partners Pllc | Dentist | 4812 West Avenue, Suite 101, San Antonio, TX 78213 | 2016-02-19 |
| 1568829570 | Stephanie Motes | Counselor | 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 | 2016-01-21 |
| 1508236506 | Pediatric Home Healthcare, LLC | Home Health | 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 | 2015-10-02 |
| 1457775439 | Larry Roberto Dela Cruz | Specialist/Technologist, Other | 218 Mackey Drive, San Antonio, TX 78213 | 2014-02-11 |
| 1437424306 | Kellie Miller | Nurse Practitioner | 2211 Nw Military Highway, 207, Castle Hills, TX 78213 | 2012-03-12 |
| 1619248416 | Karri Ann Lusk | Psychologist | 2161 Nw Military Hwy., Suite 207, San Antonio, TX 78213 | 2012-01-25 |
| Find all providers in zip 78213 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643968 | Britanni O Greene | Nurse Practitioner | 10650 Culebra Rd # 104-548, San Antonio, TX 78251-4949 | 2020-09-10 |
| 1356955462 | Saeid Nekoueian | Nurse Practitioner | 19506 Flair Oak, San Antonio, TX 78258-3648 | 2020-09-04 |
| 1649806282 | Monique Straker | Nurse Practitioner | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-03-16 |
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1023536612 | Olena Shvets | Nurse Practitioner | 311 Camden St # 510, San Antonio, TX 78215-2012 | 2017-09-02 |
| 1528598620 | Dianne Lavin LLC | Nurse Practitioner | 503 Benedict Ct, San Antonio, TX 78258-2545 | 2017-06-13 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1215476940 | Vita T Chung | Nurse Practitioner | 8122 Datapoint Dr Ste 1000, San Antonio, TX 78229-3273 | 2017-02-14 |
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78213 |
Please comment or provide details below to improve the information on COLLEEN G LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.