Healthcare Provider Details

I. General information

NPI: 1093183931
Provider Name (Legal Business Name): BARBARA JANINE LEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 HAMPSHIRE RD STE A
WESTLAKE VILLAGE CA
91361-2822
US

IV. Provider business mailing address

14633 LOYOLA ST
MOORPARK CA
93021-2558
US

V. Phone/Fax

Practice location:
  • Phone: 805-379-9110
  • Fax: 888-972-9656
Mailing address:
  • Phone: 805-286-7016
  • Fax: 805-965-7573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number95003083
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95003083
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95003083
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number2238
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95003083
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: