Lisa Kumcur

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

A660-400 Issued in WA

Practice address

375 Mt Olympus Dr NW
Issaquah, WA 98027-3016

Phone

(425) 392-3301

Fax

(425) 392-5617

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1164834636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28850 SE 224TH ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387707",
            "telephone_number": "206-399-2057",
            "fax_number": "425-413-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MT OLYMPUS DR NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273016",
            "telephone_number": "425-392-3301",
            "fax_number": "425-392-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMCUR",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00106925",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WA",
            "license": "A660-400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGING & DISABILITY SERVICES ADMINISTRATION",
            "identifier": "1001CXP-12",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Reid M. Kuether, MPT, OCS
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• Nancy Leigh Kulik, D.C.
• Swara Yogesh Kulkarni
• Karl Frederick Kundert Jr., PA-C
• Leah Kuriyama
• Christina Sukjin Kwon
• Yong Kwon, O.D
• Marilyn Ann Lacelle, MSW

• Personal Care Attendant in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Personal Care Attendant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.