Active NPI
Grace Unae Lee, FNP ARNP-C
- Family Nurse Practitioner
- Bothell, WA
National Provider Identifier
1053876490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60925530
- Practice address
- 11913 NE 195TH St
Bothell, WA 98011-3147 - Phone
- (206) 302-1200
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60925530 | WA | Primary |
Addresses
Primary practice location
11913 NE 195TH St
Bothell, WA 98011-3147
Mailing address
18210 19TH Dr SE
Bothell, WA 98012-6904
Phone (253) 507-0022
Other names 1
- Grace Unae Hanna
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60925530 | WA | MD | Family Nurse Practitioner |
Interoperability endpoints
- ghanna192050@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1053876490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18210 19TH DR SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126904",
"telephone_number": "253-507-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11913 NE 195TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113147",
"telephone_number": "206-302-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GRACE",
"middle_name": "UNAE",
"credential": "FNP ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60925530",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11913 NE 195th St",
"city": "Bothell",
"state": "WA",
"country_code": "US",
"postal_code": "980113147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GRACE",
"last_name": "HANNA",
"middle_name": "UNAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.