Individual provider Active NPI

Lashaiah Dickerson

  • Case Manager/Care Coordinator
  • Seattle, WA
National Provider Identifier
1144980665
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2200 Rainier Ave S Ste 201
Seattle, WA 98144-4642
Phone
(206) 850-2009
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2200 Rainier Ave S Ste 201
Seattle, WA 98144-4642

Mailing address

12728 28TH Ave NE Apt 503
Seattle, WA 98125-4385
Phone (206) 850-2009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lashaiah@yougrowgirl.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
You Grow Girl Case Manager/Care Coordinator CurrentSince Dec 26, 2021 Accepting new patients

Locations

2200 Rainier Ave S
#201
Seattle, WA 98144
Phone (206) 417-9904

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1144980665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 28TH AVE NE APT 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254385",
            "telephone_number": "206-850-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RAINIER AVE S STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444642",
            "telephone_number": "206-850-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "LASHAIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lashaiah@yougrowgirl.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2200 Rainier Ave S Ste 201",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981444642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 23, 2024; 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.