Active NPI
Penny Maree Lease, LMP
- Rehabilitation Practitioner
- Lynnwood, WA
National Provider Identifier
1811067895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- MA00019308
- Practice address
- 18927 33Rd Ave W
Suite B
Lynnwood, WA 98036-4726 - Phone
- (425) 776-1056
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | MA00019308 | WA | Primary |
Addresses
Primary practice location
18927 33Rd Ave W
Suite B
Lynnwood, WA 98036-4726
Mailing address
PO Box 1214
Lynnwood, WA 98046-1214
Phone (425) 220-4054
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1811067895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980461214",
"telephone_number": "425-220-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18927 33RD AVE W",
"address_2": "SUITE B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364726",
"telephone_number": "425-776-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASE",
"first_name": "PENNY",
"middle_name": "MAREE",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "WA",
"license": "MA00019308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.