Active NPI
Lydia Katherine Fiez, PA-C, MPAS
- Surgical Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA61102619
- Practice address
- 601 Broadway Ste 700
Seattle, WA 98122-5330 - Phone
- (206) 386-2600
- Fax
- (206) 622-1644
- NPI assigned
- Oct 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.PA.61102619 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA61102619 | WA | Primary |
Addresses
Primary practice location
601 Broadway Ste 700
Seattle, WA 98122-5330
Mailing address
601 Broadway Ste 700
Seattle, WA 98122-5330
Phone (206) 386-2600
Other practice location 1
4455 148th Ave NE # B1
Bellevue, WA 98007-3120
Phone (206) 386-2600
Other names 1
- Lydia Katherine McClaran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Broadway
Suite 700
Seattle, WA 98122-5330
Phone (206) 622-2600
Hospital & facility affiliations
- Swedish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.PA.61102619 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc., P.S. | Surgical | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
Locations
7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900
601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100
601 Broadway
Ste 700
Seattle, WA 98122
Phone (425) 498-2272
601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311
601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600
801 Broadway
Ste 617
Seattle, WA 98122
Phone (206) 623-0922
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- lydia.fiez.p1@direct.opa.nextgenshare.com
- lydia.fiez.p20@direct.proliance.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1821787334
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1124628359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BROADWAY STE 700",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225330",
"telephone_number": "206-386-2600",
"fax_number": "206-622-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BROADWAY STE 700",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225330",
"telephone_number": "206-386-2600",
"fax_number": "206-622-1644"
}
],
"practiceLocations": [
{
"address_1": "4455 148th Ave NE # B1",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980073120",
"country_code": "US",
"telephone_number": "206-386-2600",
"fax_number": "206-622-1644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIEZ",
"first_name": "LYDIA",
"middle_name": "KATHERINE",
"credential": "PA-C, MPAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2024-07-26",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.PA.61102619",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61102619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "MCCLARAN",
"middle_name": "KATHERINE",
"credential": "PA-C, MPAS",
"code": "1",
"type": "Former Name"
}
]
}
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 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.