Individual provider Active NPI

Aimee Jeeyoung Lee, M.D.

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1700171980
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60396610 Issued in WA
Practice address
3927 Rucker Ave
Everett, WA 98201-4833
Phone
(425) 258-3900
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 MD60396610 WA Primary

Addresses

Primary practice location

3927 Rucker Ave
Everett, WA 98201-4833

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 258-3900

Other practice location 1

21911 76th Ave W Ste 110
Edmonds, WA 98026-7918
Phone (425) 640-4950

Other practice location 2

7320 216th St SW
Edmonds, WA 98026-8006
Phone (425) 640-4900

Other identifiers 1

IdentifierTypeStateIssuer
2020712MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alee1042257@wm.providencedirect.org Direct
Direct Messaging Address alee1042257@wm.providencedirect.org Direct

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
I20140807001469 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5799902151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

21911 76TH Ave W
Suite 110
Edmonds, WA 98026-7918
Phone (425) 640-4950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jun 30, 2014 Accepting new patients
Swedish Health Services Family Medicine CurrentSince Feb 3, 2015 Accepting new patients
Neighborcare Health CurrentSince Sep 8, 2014 Accepting new patients
Neighborcare Health CurrentSince Sep 8, 2014 Accepting new patients
Swedish Health Services Family Medicine CurrentSince Feb 3, 2015 Accepting new patients
Neighborcare Health Current Accepting new patients
Swedish Health Services CurrentSince Feb 3, 2015 Accepting new patients

Locations

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21911 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 640-4950

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

800 5th Ave
Ste 600
Seattle, WA 98104

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

1801 NW Market St
Ste 403
Seattle, WA 98107
Phone (206) 297-5100

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900

1401 Madison St
Ste 100
Seattle, WA 98104
Phone (206) 386-6111

1401 Madison St
#100
Seattle, WA 98104
Phone (206) 386-6054

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Organizations & group practices 7

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1700171980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-258-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014833",
            "telephone_number": "425-258-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21911 76th Ave W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267918",
            "country_code": "US",
            "telephone_number": "425-640-4950",
            "fax_number": "425-640-4958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7320 216th St SW",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268006",
            "country_code": "US",
            "telephone_number": "425-640-4900",
            "fax_number": "425-640-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AIMEE",
        "middle_name": "JEEYOUNG",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60396610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020712",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alee1042257@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21911 76th Ave W Ste 110",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980267918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alee1042257@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7320 216th St SW",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980268006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.