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MRS. LEE K REA N.P. NPI 1205945953


NPI Information

NPI: 1205945953
Provider Name: MRS. LEE K REA, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3105 CEDAR RAVINE RD
STE 103
PLACERVILLE, CA
ZIP 95667
Phone: (530) 295-4942
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MRS. Lee K Rea, N.P. is an adult health nurse practitioner in Placerville, CA with 20 years of experience. MRS. Lee K Rea, N.P. NPI is 1205945953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3105 CEDAR RAVINE RD
STE 103
PLACERVILLE, CA
ZIP 95667-561
Phone: (530) 295-4942
Fax: (530) 295-9400

The NPI 1205945953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health15172CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ31674ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
2NP0151720OTHERCALIFORNIABLUE SHIELD
3P00300968OTHERCALIFORNIARAILROAD MEDICARE
4RN638985MEDICAIDCALIFORNIA
5Q30782MEDICARE UPINCALIFORNIA
6ZZZ04440ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.