Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. NICOLE JENNIFER LEE M.D.
NPI 1942280508
Pediatrics in Oakton, VA

Active since January 19, 2006
10455 WHITE GRANITE DR STE 5, OAKTON, VA 22124(703) 359-5100(703) 938-3669 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Nicole Jennifer Lee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE JENNIFER LEE M.D. (NPI 1942280508) is an individual pediatrics provider in Oakton, Virginia, licensed in Virginia (0101238041) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1942280508
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. NICOLE JENNIFER LEECredential: M.D.
Location Address10455 WHITE GRANITE DR STE 5Oakton, VA 22124-2764
Mailing Address410 Maple Avenue West, Ste. 5Vienna, VA 22180 · (703) 938-2244 · Fax (703) 938-3669
Fax(703) 938-3669
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1942280508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VA · 0101238041
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10455 WHITE GRANITE DR STE 5, Oakton, VA 22124

Other Identifiers 1

Medicaid010159407VA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942280508, enumerated as an "individual" on January 19, 2006.

The provider is located at 10455 WHITE GRANITE DR STE 5 OAKTON, VA 22124 and the phone number is (703) 359-5100.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.