Lance Edwards Persson, CDPT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CO60166175 Issued in WA

Practice address

2212 1St Ave
Kasota Apartments, Suite 200
Seattle, WA 98121-1615

Phone

(206) 728-0953

NPI assigned

Jan 12, 2011

Sex

Male

Sole proprietor

No

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1336444900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "address_2": "SOUND MENTAL HEALTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 1ST AVE",
            "address_2": "KASOTA APARTMENTS, SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211615",
            "telephone_number": "206-728-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSSON",
        "first_name": "LANCE",
        "middle_name": "EDWARDS",
        "name_prefix": "Mr.",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "CO60166175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Persky, MD
• Hannibal Person, M.D,
• Jettie M Person, MD
• Personalized Health, LLC
• Amber Persons-Geer
• Rigmor Persson, DDS
• Morley Perthou
• Morissa Pertik, PA-C
• Jennifer Pertuset
• John Michael Pesando, MD

• Community Health Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.