SE Hee Min

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

141943 Issued in CT

Practice address

9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148

Phone

(253) 581-6106

NPI assigned

May 6, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1073135505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 NE 21ST ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 GRAVELLY LAKE DR SW STE 107",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993148",
            "telephone_number": "253-581-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "SE HEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "141943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Million, LMHCA
• Meghan Danielle Milliron, MS, LMHC, LMP
• Paula C Mills
• Nicole Mims
• Regina L Mims
• Mind & Metabolism LLC
• Mind Your Body Clinic PLLC
• Holly R Minnick-Bishop, PMHNP-C
• Christina Lynn Minott, BA
• Dontea' Mitchell-Hunter, MS

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.