Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kyung Woon Lee, FNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295142149

Mr. Kyung Woon Lee, FNP is a Nurse Practitioner in Redding, California. Qualified in 2014, 12 years ago. Practices with Shasta Community Health Center, a 63-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1035 Placer St
Redding, CA 96001-1170
Phone: (530) 246-5883
Fax: (530) 244-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95006454 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95006454 (CA)

Record details

NPI number1295142149
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 11, 2014
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Shasta Community Health Center — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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