Individual provider Active NPI

Lyne Ann Schaefer Alfonse, ARNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1619907110
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30007657 Issued in WA
Practice address
1229 Madison St Ste 1450
Seattle, WA 98104-3538
Phone
(206) 844-6001
Fax
(206) 844-6002
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30007657 WA Primary

Addresses

Primary practice location

1229 Madison St Ste 1450
Seattle, WA 98104-3538

Mailing address

1101 Madison St
#1000
Seattle, WA 98104-1306
Phone (206) 386-2001

Other identifiers 1

IdentifierTypeStateIssuer
9662453MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000263 WA Practitioner - Nurse Practitioner 1052343233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seattle Rheumatology Associates PLLCGroup PAC ID 0345139382, 9 clinicians

Practice addresses (Care Compare)

1229 Madison St
Suite 1450
Seattle, WA 98104-3538
Phone (206) 844-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007657WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kreider Chiropractic Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1619907110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "#1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-386-2001",
            "fax_number": "206-386-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 1450",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043538",
            "telephone_number": "206-844-6001",
            "fax_number": "206-844-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER ALFONSE",
        "first_name": "LYNE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9662453",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.