Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033583695 Individual Practitioner Female Practitioner

Kathleen Lee , CPNP

Nurse Practitioner - Pediatrics • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Kathleen Lee, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Amarillo, TX. Practice services are available at 1400 S COULTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 S Coulter St

Amarillo, TX 791061786

Telephone 8064149800
Fax 8063545689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Amarillo, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX AP129251

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License TX 805081

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License IA C142378

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05102707 (NM)
Medicaid State Provider ID
200750990A (OK)
Medicaid State Provider ID
380691102 (TX)
Medicaid State Provider ID
380691101 (TX)

Secondary Practice Locations

804 Kenyon Rd

Fort Dodge, IA 50501

Phone: 5155746896

804 Kenyon Rd

Fort Dodge, IA 50501

Phone: 5155746896

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brenda Chesley

Nurse Practitioner - Pediatrics

NPI 1013398767
Debra Cristy , PT

Physical Therapist

NPI 1043732639

Physical Therapist

NPI 1073076907

Doctor of Osteopathic Medicine (D.O.)

Terry Emerson , NP

Nurse Practitioner - Neonatal

NPI 1073792107

Nurse Practitioner

Dr. Schyler Grodman , MD, MS

Student in an Organized Health Care Education/Training Program

NPI 1083278394

Doctor of Medicine (M.D.), Master of Science

Dr. Arathi Sharma , MD

Student in an Organized Health Care Education/Training Program

NPI 1104708643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 06, 2018

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 8064149800)

📍
Updated Practice Location April 23, 2018

Registered at 804 KENYON RD, FORT DODGE, IA 505015742 (Tel: 5155746896)

NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2017

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 8064149800)

📍
Updated Business Mailing Address December 12, 2017

Registered at 1400 WALLACE BLVD, AMARILLO, TX 791061708 (Tel: 8064149800)

👤
Provider Name / Credentials Updated December 12, 2017

Recorded as KATHLEEN LEE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Registered Nurse (License #805081 in TX)

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2016

Registered at 804 KENYON RD, FORT DODGE, IA 505015742 (Tel: 5155746896)

📍
Updated Business Mailing Address December 22, 2016

Registered at 502 N 9TH ST, FORT DODGE, IA 505013225 (Tel: 8065980556)

👤
Provider Name / Credentials Updated December 22, 2016

Recorded as KATHLEEN LEE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Registered Nurse (License #805081 in TX)

🟢
Initial NPI Registration & Enumeration November 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033583695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2015
Last Update: December 06, 2018
Sole Proprietor: No

Mailing Address

1400 Wallace Blvd

Amarillo, TX 791061708

Phone: 8064149800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.