Active NPI
Lindsey Deanne Mills, PA
- Medical Physician Assistant
- Seattle, WA
National Provider Identifier
1396933982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60622721
- Practice address
- 5608 17TH Ave NW Ste 1704
Seattle, WA 98107-5232 - Phone
- (360) 362-0336
- Fax
- (866) 336-7343
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60622721 | WA | Primary |
Addresses
Primary practice location
5608 17TH Ave NW Ste 1704
Seattle, WA 98107-5232
Mailing address
5608 17TH Ave NW Ste 1704
Seattle, WA 98107-5232
Phone (360) 362-0336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810002620 | Medicaid | WV |
Other names 1
- Lindsey Deanne Meadows
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60622721 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruby Therapeutics PLLC | Current | Accepting new patients | |
| Lagom Wellness PLLC | Current | Accepting new patients | |
| The Lung Center | Past | Accepting new patients |
Locations
5608 17th Ave NW
Seattle, WA 98107
Phone (206) 569-0801
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Seattle, WA
- NPI 1841053980
-
- Adult Mental Health Clinic/Center
- Seattle, WA
- NPI 1912691965
-
- Specialist
- Princeton, WV
- NPI 1508051756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1396933982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 17TH AVE NW STE 1704",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075232",
"telephone_number": "360-362-0336",
"fax_number": "866-336-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5608 17TH AVE NW STE 1704",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075232",
"telephone_number": "360-362-0336",
"fax_number": "866-336-7343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "LINDSEY",
"middle_name": "DEANNE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60622721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810002620",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "MEADOWS",
"middle_name": "DEANNE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.