Jennifer Sungmin Lee, CMD

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

1473723

Practice address

19318 Richmond Beach Dr NW
Shoreline, WA 98177-2945

Phone

(206) 542-7020

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992803449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19318 RICHMOND BEACH DR NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772945",
            "telephone_number": "206-542-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19318 RICHMOND BEACH DR NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772945",
            "telephone_number": "206-542-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "SUNGMIN",
        "name_prefix": "Ms.",
        "credential": "CMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": null,
            "license": "1473723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Le, DDS
• Thi Anh Thu Le, NURSE PRACTITIONER
• Alyssa Grace Rodriguez Ledesma, MSW, LSWAIC
• Eric Lee, DDS
• Jaehoon Lee, D.M.D.
• Johnny S Lee, DDS
• Kelly C Lee, OD
• Morgan Lee, MS, LMFTA
• Yeunmi Lee
• Willjort Moljner Leisholmn III, RN

• Radiologic Technologist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Radiologic Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.