MISS MISTY ANN LEE (NPI# 1336674126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336674126 |
| Entity Type | Individual |
| Full Name | MISS MISTY ANN LEE |
| Credential | NP |
| Practice Address |
600 Gresham Dr Fl 5 Norfolk VA 23507-1904 |
| Practice Telephone | 7573883198 |
| Practice Fax Number | 7873884242 |
| Mailing Telephone | 7573883198 |
| Mailing Fax Number | 7873884242 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024174795 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174795 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7108 Evelyn T Butts Ave, Norfolk, VA 235131817 | 7574165208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811402977 | Misty Leanne Lee | Massage Therapist | 12014 Se Mill Plain Blvd Ste 200, Vancouver, WA 98684-4044 | 2017-12-11 |
| 1255503413 | Misty Nicole Lee | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-03-27 |
| Street Address |
600 GRESHAM DR FL 5 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458550 | Maia Gakhokidze | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2005-12-21 |
| 1003307455 | Ryan Sadinski | Physician Assistant | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2018-05-22 |
| 1366951717 | Shelby M Wall | Nurse Practitioner | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2017-09-28 |
| 1588196646 | Kirstie Menard | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2017-03-29 |
| 1093169997 | Michael Evans | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2016-04-17 |
| 1306226956 | Kristin Elizabeth Campbell | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2015-06-08 |
| 1649538265 | Catherine J Cotten | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2012-05-02 |
| 1972861987 | Eric Ninh-do Nguyen | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2012-04-26 |
| 1568776540 | Pallavi Reddy Kuppireddy | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2010-08-02 |
| 1649582982 | Sissay S Befikadu | Internal Medicine | 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206589 | Advanced Clinicians Specialty Services LLC | Nurse Practitioner | 2414 Colonial Ave, Norfolk, VA 23517-1224 | 2020-08-24 |
| 1932734241 | Felicitas Lembi Kanla | Nurse Practitioner | 6400 Crescent Way Apt 106, Norfolk, VA 23513-1417 | 2020-03-06 |
| 1588296032 | Laura Kay Gibson | Nurse Practitioner | 5900 E Va Beach Blvd Ste 260, Norfolk, VA 23502-2492 | 2020-02-12 |
| 1508401548 | Chanda Richele Anderson | Nurse Practitioner | 3901 W Norfolk Ave, Norfolk, NE 68701-4467 | 2019-11-13 |
| 1215586730 | Tuesdaye Anne Curling | Nurse Practitioner | 5800 Lake Wright Dr Ste 101, Norfolk, VA 23502-1804 | 2019-09-06 |
| 1790332377 | Kate Terjanian Richard | Nurse Practitioner | 850 Kempsville Rd Ste 200, Norfolk, VA 23502-3920 | 2019-08-20 |
| 1326600271 | Jody Ann Herley | Nurse Practitioner | 111 Kings Way, Norfolk, NE 68701-3301 | 2019-07-01 |
| 1457822744 | Merideth Beck Pope | Nurse Practitioner | 9530 24th Bay St, Norfolk, VA 23518-1714 | 2018-12-11 |
| 1841770377 | Tammise Hastings Stine | Nurse Practitioner | 160 Kingsley Ln Ste 100a, Norfolk, VA 23505-4635 | 2018-08-15 |
| 1467966507 | Julie Sharlene Jones | Nurse Practitioner | 1349 E Tanners Creek Dr, Norfolk, VA 23513-1374 | 2017-11-28 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on MISS MISTY ANN 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.