Organization Active NPI

Polly Lysen-Halpern

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1023306149
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP30003688 Issued in WA
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

Updated by the provider on Jul 11, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.