Individual provider Active NPI

Quyen T Lee

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
National Provider Identifier
1538550512
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP 60494712 Issued in WA
Practice address
1260 116TH Ave NE Ste 110
Bellevue, WA 98004-3800
Phone
(425) 455-7225
Fax
(425) 455-0045
NPI assigned
Feb 11, 2015
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000215 CA
Certified Registered Nurse Anesthetist 367500000X R33737 ND
Certified Registered Nurse Anesthetist 367500000X AP 60494712 WA Primary

Addresses

Primary practice location

1260 116TH Ave NE Ste 110
Bellevue, WA 98004-3800

Mailing address

9104 120TH Ave SE
Newcastle, WA 98056-2009
Phone (206) 724-5221

Other practice location 1

155 Lilly Rd NE Ste B
Olympia, WA 98506-5028
Phone (206) 538-6300

Other practice location 2

4125 Williams Ave N
Renton, WA 98056-2171
Phone (206) 724-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007122 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163740150 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95000215CAMDCertified Registered Nurse Anesthetist
AP 60494712WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Physicians PLLC CurrentSince Oct 17, 2023 Accepting new patients
Public Hospital District No 1 of Mason County Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince May 1, 2016 Accepting new patients
Anesis Bel-Red ASC, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 19, 2023 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1260 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 455-7225

155 Lilly Rd NE
Ste A
Olympia, WA 98506
Phone (206) 895-1825

155 Lilly Rd NE
Ste B
Olympia, WA 98506

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

901 Mountain View Dr
Bldg 1
Shelton, WA 98584
Phone (360) 426-1611

1415 N Houk Rd
Ste B
Spokane Valley, WA 99216
Phone (509) 381-4500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1538550512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 120TH AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980562009",
            "telephone_number": "206-724-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 116TH AVE NE STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043800",
            "telephone_number": "425-455-7225",
            "fax_number": "425-455-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Lilly Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Williams Ave N",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980562171",
            "country_code": "US",
            "telephone_number": "206-724-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "QUYEN",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000215",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R33737",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP 60494712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.