Active NPI
Lessli D. Putney, M.D.
- Pediatrics Physician
- Bellingham, WA
National Provider Identifier
1902897507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00044715
- Practice address
- 4545 Cordata Pkwy
Bellingham, WA 98226-7123 - Phone
- (360) 738-2200
- Fax
- (360) 752-5678
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00044715 | WA | Primary |
Addresses
Primary practice location
4545 Cordata Pkwy
Bellingham, WA 98226-7123
Mailing address
PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 738-2200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902897507 | Medicaid | WA | |
| 7304698 | Other | WA | AETNA |
| 8426751 | Medicaid | WA | |
| 0229980 | Other | WA | L&I AND CRIME VICTIMS |
| 1692HO | Other | WA | REGENCE |
Other names 1
- Lessli Hornung
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00044715 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lputney10183@direct.peacehealth.org
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": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1902897507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982275096",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 CORDATA PKWY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267123",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNEY",
"first_name": "LESSLI",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00044715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902897507",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7304698",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8426751",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0229980",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "1692HO",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESSLI",
"last_name": "HORNUNG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.