Individual provider Active NPI

Theresa S Lee, L.M.P

  • Specialist
  • Bellevue, WA
National Provider Identifier
1861616989
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00021246 Issued in WA
Practice address
12015 NE 8TH St Ste 1
Bellevue, WA 98005-3141
Phone
(425) 635-0544
Fax
(425) 450-0365
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00021246 WA Primary

Addresses

Primary practice location

12015 NE 8TH St Ste 1
Bellevue, WA 98005-3141

Mailing address

12015 NE 8TH St Ste 1
Bellevue, WA 98005-3141
Phone (425) 635-0544

Other identifiers 1

IdentifierTypeStateIssuer
MA00021246OtherWAL.M.P

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

LicenseStateTypeSpecialty
MA00021246WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas C. Schwartz, DC, PS, Inc. Past Accepting new patients

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1861616989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 NE 8TH ST STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053141",
            "telephone_number": "425-635-0544",
            "fax_number": "425-450-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 NE 8TH ST STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053141",
            "telephone_number": "425-635-0544",
            "fax_number": "425-450-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "THERESA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "L.M.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.M.P",
            "identifier": "MA00021246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.