Active NPI
Lourdes C Jose, ARNP
- Adult Health Nurse Practitioner
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60146966
- Practice address
- 3600 Lind Ave SW
Ste 170
Renton, WA 98057-4934 - Phone
- (425) 656-5439
- Fax
- (425) 656-5493
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60146966 | WA | Primary |
Addresses
Primary practice location
3600 Lind Ave SW
Ste 170
Renton, WA 98057-4934
Mailing address
3600 Lind Ave SW
Ste 170
Renton, WA 98057-4934
Phone (425) 656-5439
Other practice location 1
113 23rd Ave S
Seattle, WA 98144-2309
Phone (206) 219-5980
Other practice location 2
8720 14th Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730
Other practice location 3
113 23rd Ave S
Seattle, WA 98144-2309
Phone (206) 709-1777
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602002651 | WA | Practitioner - Nurse Practitioner | 8022339019 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea-Mar Community Health Center | Past | Accepting new patients | |
| Sea Mar Community Health Centers | Past | Accepting new patients |
Locations
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Interoperability endpoints
- ljose450541@direct.multicare.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
WA
-
- Federally Qualified Health Center (FQHC)
- Burien, WA
- NPI 1245387679
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1881062362
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1386958692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "STE 170",
"city": "RENTON",
"state": "WA",
"postal_code": "980574934",
"telephone_number": "425-656-5439",
"fax_number": "425-656-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "STE 170",
"city": "RENTON",
"state": "WA",
"postal_code": "980574934",
"telephone_number": "425-656-5439",
"fax_number": "425-656-5493"
}
],
"practiceLocations": [
{
"address_1": "113 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981442309",
"country_code": "US",
"telephone_number": "206-219-5980",
"fax_number": "206-812-6161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8720 14th Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981084807",
"country_code": "US",
"telephone_number": "206-762-3730",
"fax_number": "206-764-0523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "113 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981442309",
"country_code": "US",
"telephone_number": "206-709-1777",
"fax_number": "206-860-9846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSE",
"first_name": "LOURDES",
"middle_name": "C",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60146966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.