Individual provider Active NPI

Lanae Kay Miner, MD

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1841432309
Registry record updated Jun 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ML 60093670 Issued in WA
Practice address
4800 Sand Point Way NE
A-5950
Seattle, WA 98105-3901
Phone
(206) 987-2000
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ML 60093670 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE
A-5950
Seattle, WA 98105-3901

Mailing address

4800 Sand Point Way NE
A-5950
Seattle, WA 98105-3901

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
I20120807000421 WA Practitioner - Pediatric Medicine 6406002484 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML 60093670WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association of CHMC and University Physicians Pediatrics CurrentSince Jul 1, 2012 Accepting new patients
Swedish Health Services Pediatrics CurrentSince Sep 29, 2014 Accepting new patients
Swedish Health Services CurrentSince Sep 29, 2014 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Jul 1, 2012 Accepting new patients

Locations

21600 Highway 99
Ste 290
Edmonds, WA 98026
Phone (425) 640-4620

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

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

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

800 5th Ave
Ste 600
Seattle, WA 98104

4800 Sand Point Way NE
#A5950
Seattle, WA 98105
Phone (206) 598-3000

Interoperability endpoints

  • Direct secure messaging: lminer127536@direct.seattlechildrens.org

Organizations & group practices 4

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276992000000",
    "number": "1841432309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "A-5950",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "A-5950",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "LANAE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2010-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "ML 60093670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.