Active NPI
Kellie Bianca Lee, LMP
- Specialist
- Seattle, WA
National Provider Identifier
1992944243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60060129
- Practice address
- 1421 Western Ave
Seattle, WA 98101-2021 - Phone
- (206) 624-3590
- Fax
- (206) 583-4139
- NPI assigned
- Feb 10, 2009
- Last updated
- May 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60060129 | WA | Primary |
Addresses
Primary practice location
1421 Western Ave
Seattle, WA 98101-2021
Mailing address
1421 Western Ave
Seattle, WA 98101-2021
Phone (206) 624-3590
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60060129 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt Brown-Ruegg DC PS | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1992944243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 WESTERN AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012021",
"telephone_number": "206-624-3590",
"fax_number": "206-583-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 WESTERN AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012021",
"telephone_number": "206-624-3590",
"fax_number": "206-583-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KELLIE",
"middle_name": "BIANCA",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60060129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.