NATASHA LEE (NPI# 1629467394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629467394 |
Entity Type | Individual |
Full Name | NATASHA LEE |
Credential | PA-C |
Practice Address |
836 Prudential Dr Ste 1700 Credentialing Department Jacksonville FL 32207-8344 |
Mailing Address |
Po Box 40767 Credentialing Department Jacksonville FL 32203-0767 |
Practice Telephone | 9043980125 |
Practice Fax Number | 9043981832 |
Mailing Telephone | 9043763707 |
Mailing Fax Number | 9043915807 |
Enumeration Date | 2015-01-17 |
Last Update Date | 2015-01-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108408 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649617168 | Natasha Hope Lee | Nurse Practitioner | 3800 Houma Blvd Ste 350, Metairie, LA 70006 | 2013-05-23 |
1063617363 | Natasha M Lee | Dentist | 1613 Highway 20 W, Mcdonough, GA 30253-7311 | 2007-06-18 |
1427148568 | Natasha Anne Lee | Dentist | 1317 9th Ave, San Francisco, CA 94122-2308 | 2006-10-12 |
1114458213 | Natasha Lee | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # Sl-50, New Orleans, LA 70112-2632 | 2017-03-21 |
1285090316 | Natasha Collins Lee | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2016-01-05 |
1841663739 | Natasha Lee | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-02 |
1033251491 | Natasha Rae Lee | Counselor | 277 South St, Suite Y, San Luis Obispo, CA 93401-5039 | 2007-02-13 |
Street Address |
836 PRUDENTIAL DR STE 1700 CREDENTIALING DEPARTMENT |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207-8344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528060936 | Marc Richard Litt | Internal Medicine | 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344 | 2005-08-15 |
1760018469 | Laura Elizabeth Spear | Nurse Practitioner | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2020-03-14 |
1992284343 | Morgan Elizabeth Koch | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2018-08-07 |
1023480498 | Jenna D Effron | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2015-10-26 |
1881080646 | Julia C Silver | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2015-04-08 |
1881094308 | Jarica Thigpen | Physician Assistant | 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344 | 2014-09-03 |
1669881801 | Jessica Lynn Saliba | Nurse Practitioner | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2014-08-12 |
1144650078 | Max Courtney II | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2013-11-13 |
1194070862 | Ryan R Shrode | Licensed Practical Nurse | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2012-07-19 |
1508178567 | Christopher Owen Austin | Internal Medicine | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2010-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
Find all providers in zip 32207 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
1467935213 | Alexis Almonte | Physician Assistant | 655 W 8th St # C-3, Jacksonville, FL 32209-6511 | 2018-09-07 |
1053851535 | Luciana Oran | Physician Assistant | 4849 Florida Club Cir Apt 3104, Jacksonville, FL 32216-1089 | 2017-03-02 |
1699217463 | Ashley C Moyer | Physician Assistant | 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 | 2016-11-10 |
1437600889 | Lindsay Elizabeth Murrell | Physician Assistant | 14540 Old Saint Augustine Rd Ste 2599, Jacksonville, FL 32258-7420 | 2016-10-20 |
1992178719 | Sonila Musta-kina | Physician Assistant | 1633 Race Track Rd Ste 101, Jacksonville, FL 32259-3237 | 2015-11-02 |
1922409580 | Lindsey Beth Hollingsworth | Physician Assistant | 841 Prudential Dr Ste 1900, Jacksonville, FL 32207-8373 | 2014-09-12 |
1487905220 | Krystin Michelle Greene | Physician Assistant | 4085 University Blvd S Ste 3, Jacksonville, FL 32216-4362 | 2012-09-19 |
1790034296 | Gary Robertson | Physician Assistant | 12964 Winthrop Cove Dr, Jacksonville, FL 32224-7503 | 2012-08-30 |
1366711905 | Jeremiah Taejong Oh | Physician Assistant | 3d Battalion, 8th Marines Psc Box 20104, Camp Lejeune, Jacksonville, NC 28542-0104 | 2011-12-28 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
Please comment or provide details below to improve the information on NATASHA 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.