Active NPI
Man Le, NP-C
- Nurse Practitioner
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 61149271
- Practice address
- 1450 5TH St SE Ste 3400
Puyallup, WA 98372-4638 - Phone
- (253) 697-4740
- Fax
- (253) 697-4744
- NPI assigned
- Feb 15, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 61149271 | WA | Primary |
Addresses
Primary practice location
1450 5TH St SE Ste 3400
Puyallup, WA 98372-4638
Mailing address
1450 5TH St SE Ste 3400
Puyallup, WA 98372-4638
Phone (253) 697-4740
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1628 S Mildred St
Suite 101
Tacoma, WA 98465-1628
Phone (253) 383-8577
311 S L St
Tacoma, WA 98405-3720
4524 Intelco Loop SE
Lacey, WA 98503-5941
Phone (360) 491-9890
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61149271 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Washington Pac Services PC | Current | Accepting new patients | |
| CS Pacs 3 Northwest, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Wa Pacs 2 PC | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Past | Accepting new patients |
Locations
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
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
4524 Intelco Loop SE
Lacey, WA 98503
Phone (360) 491-9884
920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422
3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000
414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650
14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- mle574161@direct.multicare.org
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Puyallup, WA
- NPI 1811752066
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Hospitalist Physician
- Spokane, WA
- NPI 1336678168
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1144706532
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1063711562
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1396338935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 5TH ST SE STE 3400",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724638",
"telephone_number": "253-697-4740",
"fax_number": "253-697-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 5TH ST SE STE 3400",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724638",
"telephone_number": "253-697-4740",
"fax_number": "253-697-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MAN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "61149271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.