Active NPI
Shanna R Lea, LMP, CH
- Specialist
- Kirkland, WA
National Provider Identifier
1780694299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13199
- Practice address
- 60 Lake Shore PLZ
Suite 3
Kirkland, WA 98033-3716 - Phone
- (425) 827-3250
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13199 | WA | Primary |
Addresses
Primary practice location
60 Lake Shore PLZ
Suite 3
Kirkland, WA 98033-3716
Mailing address
PO Box 967
Kirkland, WA 98083
Phone (206) 313-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13199 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780694299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98083",
"telephone_number": "206-313-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 LAKE SHORE PLZ",
"address_2": "SUITE 3",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980333716",
"telephone_number": "425-827-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "SHANNA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMP, CH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "13199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.