Individual provider Active NPI

Mary E Lambe, MD FAAFP

  • Family Medicine Physician
  • Snoqualmie, WA
National Provider Identifier
1831122449
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21508 Issued in WA
Practice address
38700 SE River Street
Snoqualmie Valley Clinic
Snoqualmie, WA 98065
Phone
(425) 888-2299
Fax
(425) 888-1204
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21508 WA Primary
Family Medicine Physician 207Q00000X DR-45006 CO

Addresses

Primary practice location

38700 SE River Street
Snoqualmie Valley Clinic
Snoqualmie, WA 98065

Mailing address

PO Box 2013
Snoqualmie, WA 98065-2013
Phone (425) 888-2299

Other identifiers 1

IdentifierTypeStateIssuer
8448193MedicaidWA

Other names 1

  • Dr. Mary Elizabeth Lambe Other name

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
I20050411000200 WA Practitioner - Family Practice 7810934064 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-45006COMDFamily Medicine Physician
21508WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Snoqualmie Valley Clinic, PLLC Family Medicine CurrentSince Feb 1, 2016 Accepting new patients

Locations

450 NW Gilman Blvd
Ste 203
Issaquah, WA 98027
Phone (425) 454-3938

Organizations & group practices 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1831122449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652013",
            "telephone_number": "425-888-2299",
            "fax_number": "425-888-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38700 SE RIVER STREET",
            "address_2": "SNOQUALMIE VALLEY CLINIC",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "425-888-2299",
            "fax_number": "425-888-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBE",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD FAAFP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "21508",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR-45006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8448193",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LAMBE",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.