Individual provider Active NPI

Lena Ismail

  • Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1376027789
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61017092 Issued in WA
Practice address
10414 Beardslee Blvd # 100
Bothell, WA 98011-3205
Phone
(425) 486-0658
NPI assigned
Sep 21, 2018
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61017092 WA Primary
Registered Nurse 163W00000X RN2320788 MA

Addresses

Primary practice location

10414 Beardslee Blvd # 100
Bothell, WA 98011-3205

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bothell.healthpoint.p3@direct.hpc.nextgenshare.com

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
I20200408001589 WA Practitioner - Nurse Practitioner 6507295805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2320788MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Nurse Practitioner CurrentSince Oct 5, 2022 Accepting new patients
Multicare Health System CurrentSince Oct 5, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Healthpoint CurrentSince Feb 24, 2020 Accepting new patients
Healthpoint CurrentSince Feb 24, 2020 Accepting new patients
Healthpoint Current Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
#100
Bothell, WA 98011
Phone (425) 486-0658

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: bothell.healthpoint.p3@direct.hpc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1376027789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD # 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113205",
            "telephone_number": "425-486-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "LENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61017092",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2320788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bothell.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "10414 Beardslee Blvd # 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.