JOAN LEE (NPI# 1790784189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790784189 |
| Entity Type | Individual |
| Full Name | JOAN LEE |
| Other Name | JOAN FAMBROUGH |
| Credential | CRNA |
| Practice Address |
20 Medical Village Dr Suite 208 Edgewood KY 41017 |
| Mailing Address |
20 Medical Village Dr Suite 208 Edgewood KY 41017-5401 |
| Practice Telephone | 8593442211 |
| Practice Fax Number | 8593442511 |
| Mailing Telephone | 8593442211 |
| Mailing Fax Number | 8593442511 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3007567 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 042255 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS NUMBER | 3057247 | 01 |
| KY | 74780990 | 05 | |
| TN | 3620054 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 29th Ave N Ste 200, Nashville, TN 372036002 | 6153274304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186412 | Joan H Lee | Registered Nurse | 2300 Henry Street, Dyersburg, TN 38024-5341 | 2007-02-02 |
| 1275919904 | Joan K Lee | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-08-04 |
| 1619362274 | Joan Lee | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Room N5w70, Baltimore, MD 21201-1544 | 2015-03-31 |
| 1821371105 | Joan M Lee | Registered Nurse | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2011-09-23 |
| 1639494289 | Joan Jean Lee | Ophthalmology | 6b Minneakoning Rd, Flemington, NJ 08822-5760 | 2010-04-06 |
| 1194726703 | Joan Wai-chung Lee | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-4747 | 2005-08-04 |
| Street Address |
20 MEDICAL VILLAGE DR SUITE 208 |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295243 | Paul Allen Jacobs | Obstetrics & Gynecology | 20 Medical Village Dr, Ste 302, Edgewood, KY 41017-5402 | 2005-06-14 |
| 1043821085 | David Thomas Tackett | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-08-13 |
| 1245866888 | Annalee Fitzpatrick | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-03-16 |
| 1972137313 | Thomas Gravely | Pharmacist | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-02-25 |
| 1205487071 | Amanda M Hofmeyer | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2019-09-24 |
| 1528535804 | Heidi Ann Ducker | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2018-10-25 |
| 1316433014 | Tara Nagaraj | Pharmacist | 20 Medical Village Dr, Edgewood, KY 41017 | 2018-07-05 |
| 1033628268 | Jennifer Teresa Sprague | Physician Assistant | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2017-09-20 |
| 1235658857 | Eric Joseph Faris | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017 | 2017-09-14 |
| 1356876940 | Jennifer Vaden | Registered Nurse | 20 Medical Village Dr, Suite 301, Edgewood, KY 41017-5401 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346495983 | Nicholas Parsons | Nurse Anesthetist, Certified Registered | 1 Medical Villiage Dr., Edgewood, KY 41017 | 2008-11-24 |
| 1164676854 | Lori Dawn Wade | Nurse Anesthetist, Certified Registered | 20 Medical Village Dr Ste 258, Edgewood, KY 41017-5411 | 2008-11-09 |
| 1730351008 | Independent Anesthesiologists, Psc | Nurse Anesthetist, Certified Registered | 580 South Loop Rd, Edgewood, KY 41017 | 2008-03-27 |
| 1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
| 1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
| 1659998912 | Lindsay Ann Wood | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-01 |
| 1982221594 | Evan Williams Angus | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-30 |
| 1013533405 | Stephanie Anne Stegman | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-22 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| 1760004386 | Colin Friedly | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-05-18 |
| Find all providers in EDGEWOOD | ||||
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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.