Active NPI
Jonathan Lee, M.D.
- Pediatrics Physician
- Pullman, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60947065
- Practice address
- 1205 SE Professional Mall Blvd Ste 104
Pullman, WA 99163-5423 - Phone
- (509) 332-2605
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML60657369 | WA | |
| Pediatrics Physician | 208000000X | MD60947065 | WA | Primary |
Addresses
Primary practice location
1205 SE Professional Mall Blvd Ste 104
Pullman, WA 99163-5423
Mailing address
1205 SE Professional Mall Blvd Ste 104
Pullman, WA 99163-5423
Phone (509) 332-2605
Other practice location 1
1420 S Blaine St Ste 5
Moscow, ID 83843-3973
Phone (208) 882-2247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Public Hospital District # 1-a | Past | Accepting new patients | |
| Highline Internal Medicine PS | Past | Accepting new patients | |
| Seahurst Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Locations
1420 S Blaine St
Ste 5
Moscow, ID 83843
Phone (208) 882-2247
2500 W A St
Ste 201
Moscow, ID 83843
Phone (208) 332-2828
1205 SE Professional Mall Blvd
Ste 104
Pullman, WA 99163
Phone (509) 332-2605
840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300
825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498
840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139
Interoperability endpoints
- jlee36670@direct.seattlechildrens.org
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
ID
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1407880321
-
- Clinical Medical Laboratory
- Pullman, WA
- NPI 1962667170
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
-
- Pediatrics Physician
- Burien, WA
- NPI 1629002597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1679935530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 SE PROFESSIONAL MALL BLVD STE 104",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635423",
"telephone_number": "509-332-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 SE PROFESSIONAL MALL BLVD STE 104",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635423",
"telephone_number": "509-332-2605"
}
],
"practiceLocations": [
{
"address_1": "1420 S Blaine St Ste 5",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838433973",
"country_code": "US",
"telephone_number": "208-882-2247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "ML60657369",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60947065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.