SE HEE MIN (NPI# 1073135505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073135505 |
Entity Type | Individual |
Full Name | SE HEE MIN |
Practice Address |
9116 Gravelly Lake Dr Sw Ste 107 Lakewood WA 98499-3148 |
Mailing Address |
1817 Ne 21st St Renton WA 98056-2614 |
Practice Telephone | 2535816106 |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
141943 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9116 GRAVELLY LAKE DR SW STE 107 |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-3148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720646771 | Se Won Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2019-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
Find all providers in zip 98499 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033720289 | Robin Jean Mills | Nurse Practitioner | 2162 Lewis Dr, Lakewood, OH 44107-6141 | 2020-08-12 |
1720646771 | Se Won Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2019-06-04 |
1790245736 | Therese Jean Calabrese | Nurse Practitioner | 7525 W 10th Ave # 100, Lakewood, CO 80214-4493 | 2019-03-25 |
1760966139 | Michelle Lea Bajema | Nurse Practitioner | 6212 75th St W # 1, Lakewood, WA 98499-8368 | 2018-09-20 |
1881097707 | Marjory Strawn | Nurse Practitioner | 7114 W Jefferson Ave Ste 306, Lakewood, CO 80235-2354 | 2014-10-06 |
1992077630 | Tzivya Kownat | Nurse Practitioner | 23 Kedma Dr, Lakewood, NJ 08701-3599 | 2012-01-26 |
1033118344 | Erin Alane Jacobson | Nurse Practitioner | 6212 75th St W, Lakewood, WA 98499-8368 | 2005-07-19 |
1780299495 | Rachel E King | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-09-10 |
1255964268 | Casey Brown | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-02-18 |
1316588619 | Alimatou Moustapha | Nurse Practitioner | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2019-10-08 |
Find all providers in LAKEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.