Individual provider Active NPI

Geraldine Jennifer Lee, ARNP, LM

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1265582480
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60776005 Issued in WA
Practice address
9709 3Rd Ave NE FL 2
Seattle, WA 98115-2077
Phone
(206) 525-5777
Fax
(206) 528-9881
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW00000306 WA
Family Nurse Practitioner 363LF0000X AP60776005 WA Primary

Addresses

Primary practice location

9709 3Rd Ave NE FL 2
Seattle, WA 98115-2077

Mailing address

9709 3Rd Ave NE
Seattle, WA 98115-2062
Phone (206) 525-5777

Other practice location 1

3902 Whitman Ave N
Seattle, WA 98103-7824
Phone (206) 818-1321

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126000203 WA Practitioner - Nurse Practitioner 2062771736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1355 N 205TH St
Shoreline, WA 98133-3215
Phone (206) 542-5656

Hospital & facility affiliations

  • Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
  • University of Washington Medical Ctr Hospital, Seattle, WA, CCN 500008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MW00000306WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC CurrentSince Feb 26, 2018 Accepting new patients
The Polyclinic PLLC CurrentSince Feb 26, 2018 Accepting new patients
The Association of University Physicians CurrentSince Mar 4, 2021 Accepting new patients
Fremont Midwifery Midwife Past Accepting new patients

Locations

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

9709 3rd Ave NE
Fl 2
Seattle, WA 98115
Phone (206) 525-5777

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1355 N 205th St
Shoreline, WA 98133
Phone (206) 520-1854

Interoperability endpoints

  • Direct secure messaging: glee497451@direct.ehre.uwmedicine.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265582480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 3RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152062",
            "telephone_number": "206-525-5777",
            "fax_number": "206-528-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 3RD AVE NE FL 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152077",
            "telephone_number": "206-525-5777",
            "fax_number": "206-528-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3902 Whitman Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037824",
            "country_code": "US",
            "telephone_number": "206-818-1321",
            "fax_number": "206-400-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GERALDINE",
        "middle_name": "JENNIFER",
        "credential": "ARNP, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW00000306",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60776005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.