Individual provider Active NPI

Yuri Anna Lee, MD

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1609026780
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60178250 Issued in WA
Practice address
1250 Pacific Ave
Suite 110
Tacoma, WA 98402-4318
Phone
(253) 272-0269
Fax
(253) 272-0679
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60178250 WA Primary

Addresses

Primary practice location

1250 Pacific Ave
Suite 110
Tacoma, WA 98402-4318

Mailing address

1250 Pacific Ave
Suite 110
Tacoma, WA 98402-4318
Phone (253) 272-0269

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018003192 WA Order and Referring Only - Family PracticePractitioner - Family Practice 6103092713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60178250WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DPC Medical Group, P.C. Family Medicine Past Accepting new patients
Everside Health, LLC Family Medicine Past Accepting new patients

Organizations & group practices 2

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1609026780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PACIFIC AVE",
            "address_2": "SUITE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024318",
            "telephone_number": "253-272-0269",
            "fax_number": "253-272-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PACIFIC AVE",
            "address_2": "SUITE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024318",
            "telephone_number": "253-272-0269",
            "fax_number": "253-272-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YURI",
        "middle_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60178250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.