Sereyrath Lim, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61521919 Issued in WA

Practice address

1057 12TH Ave
Longview, WA 98632-2509

Phone

(360) 261-7848

Fax

(360) 414-1342

NPI assigned

Jan 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Cowlitz Family Health Center 21 clinicians

Family Medicine Clinic of Federal Way 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sereyrath.lim@948332379439108.direct.elationemr.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Family Medicine Clinic of Federal Way

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1629113956

  WA

  Medicare reassignment Care Compare group NPD
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1891724506

  WA

  Medicare reassignment Care Compare group
• South Hill Family Medicine PC

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1538253331

  WA

  Medicare reassignment NPD
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Woodland, WA
  • NPI 1053472993
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Kelso, WA
  • NPI 1366790008
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Cathlamet, WA
  • NPI 1538497417
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1609524164
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Castle Rock, WA
  • NPI 1801266481
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ocean Park, WA
  • NPI 1891856142
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1962876748
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1407618754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 31ST AVE SW UNIT B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734012",
            "telephone_number": "253-330-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-261-7848",
            "fax_number": "360-414-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SEREYRATH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61521919",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61521919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Libby, COTA-L
• Holly C Liberatore, MD
• Licensed2Listen
• Kristin Lidvall, OTD
• Life Works
• Trevor William Limbocker
• Tony C Lin, M.D.
• Lincare Inc.
• Melisa Sue Linden, AAC
• Cheyney Webb Lindgren, ARNP

• All providers in Longview, WA
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.

Verify at the official NPI Registry.