JAEWON LEE (NPI# 1467941401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467941401 |
| Entity Type | Individual |
| Full Name | JAEWON LEE |
| Credential | NP |
| Practice Address |
4477 W 118th St Ste 409 Hawthorne CA 90250-2259 |
| Practice Telephone | 3102190647 |
| Mailing Telephone | 3102190647 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95008747 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033695762 | Jaewon Lee | Developmental Therapist | 5905 Sandringham Ct, Alexandria, VA 22315-4143 | 2018-07-16 |
| 1891280061 | Jaewon James Lee | Surgery | 8700 Beverly Blvd Ste 8215nt, West Hollywood, CA 90048-1804 | 2018-06-28 |
| 1558815522 | Jaewon Lee | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2016-08-08 |
| Street Address |
4477 W 118TH ST STE 409 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891252680 | Russell David Fike | Physician Assistant | 4477 W 118th St Ste 409, Hawthorne, CA 90250-2259 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092260 | Stacie Ann Kalehuamakanoe Ramos | Nurse Practitioner | 3900 W 146th St, Hawthorne, CA 90250-8326 | 2020-01-22 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1972962595 | Lana Naloy | Nurse Practitioner | 12 N 12th St, Hawthorne, NJ 07506-3702 | 2016-02-11 |
| 1225668288 | Arcelia Kiss | Nurse Practitioner | 11946 Hawthorne Blvd, Hawthorne, CA 90250-3016 | 2020-01-17 |
| 1861867715 | Maria Montessa Tinoco | Nurse Practitioner | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2015-12-03 |
| 1861874398 | Olivia Ghaussy | Nurse Practitioner | 11633 Hawthorne Blvd, Hawthorne, CA 90250-2321 | 2015-06-20 |
| 1164868931 | Nona Pacatang Santos | Nurse Practitioner | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2013-05-20 |
| 1568806289 | Kerrie Younan | Nurse Practitioner | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2013-04-24 |
| 1407124688 | Uloma Ijomah | Nurse Practitioner | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2011-12-02 |
| 1689959678 | Sandra Dineen | Nurse Practitioner | 19 Bradhurst Ave, Suite 700, Hawthorne, NY 10532-2140 | 2011-10-21 |
| Find all providers in HAWTHORNE | ||||
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| 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.