Active NPI
Polly Lysen-Halpern
- Clinic/Center
- Seattle, WA
National Provider Identifier
1023306149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- AP30003688
- Legal business name
- POLLY LYSEN-HALPERN
- Practice address
- 3216 NE 45TH PL
Suite 212
Seattle, WA 98105-4093 - Phone
- (206) 414-9992
- Fax
- (206) 452-3010
- NPI assigned
- Jul 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pollyann Lysen-Halpern, ARNP
- Title
- Owner
- Phone
- (206) 414-9992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | AP30003688 | WA | Primary |
Addresses
Primary practice location
3216 NE 45TH PL
Suite 212
Seattle, WA 98105-4093
Mailing address
3216 NE 45TH PL
Suite 212
Seattle, WA 98105-4093
Phone (206) 414-9992
National Provider Directory
National Provider DirectoryLocations
3711 NE 45th St
Seattle, WA 98105
Phone (206) 414-9992
2817 NE 55th St
Ste A
Seattle, WA 98105
Phone (206) 414-9992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310342400000",
"number": "1023306149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 NE 45TH PL",
"address_2": "SUITE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054093",
"telephone_number": "206-414-9992",
"fax_number": "206-452-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NE 45TH PL",
"address_2": "SUITE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054093",
"telephone_number": "206-414-9992",
"fax_number": "206-452-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLLY LYSEN-HALPERN",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-11",
"status": "A",
"authorized_official_last_name": "LYSEN-HALPERN",
"authorized_official_first_name": "POLLYANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-414-9992",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WA",
"license": "AP30003688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.