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Nathaniel Lee

Pediatrics β€’ Maple Valley, WA

Active NPI 1891436572 Individual Practitioner Male Practitioner
Practice location in NPPES

24080 Se Kent Kangley Rd
Maple Valley, WA 980386851

Call 2533727680 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

24080 Se Kent Kangley Rd

Maple Valley, WA 980386851

Telephone 2533727680
Organization at the Same NPPES Address or Phone
Multicare Health System Facility NPI 1558040642

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Loma Linda University School Of Medicine

Graduation Year

2022

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nathaniel Lee has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nathaniel Lee as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maple Valley and Washington

3 active clinicians are listed under Pediatrics with a practice address in Maple Valley, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA 70014785

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20250926003790

Enrollment State Jurisdiction

WA

PECOS Control ID

6103295423

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. David Cline , MD

Internal Medicine

NPI 1205855087

Doctor of Medicine (M.D.)

Constance Hood , PA-C

Physician Assistant

NPI 1447342027

Physician Assistant (Certified)

NPI 1548823933

Doctor of Osteopathic Medicine (D.O.)

Lyne Liboiron-Bouie , NP

Nurse Practitioner - Family

NPI 1194506105

Nurse Practitioner

Dr. Kathryn Ordon , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1992296842

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dr. Angela Sabra , DO

Family Medicine

NPI 1841551975

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address July 22, 2026

Registered at 23106 SE EVERGREEN ST, BLACK DIAMOND, WA 980105107 (Tel: 8134171789)

πŸ“
Updated Practice Location August 22, 2025

Registered at 24080 SE KENT KANGLEY RD, MAPLE VALLEY, WA 980386851 (Tel: 2533727680)

πŸ“
Updated Business Mailing Address August 22, 2025

Registered at 13404 NEWCASTLE COMMONS DR APT 226, NEWCASTLE, WA 980593212 (Tel: 8134171789)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2025

Pediatrics (license number reported to NPPES: WA 70014785)

πŸ“
Updated Business Mailing Address June 24, 2025

Registered at 3748 ELLINGTON ST, CHARLOTTE, NC 282111106

βœ…
NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2022

Registered at 1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 282035812 (Tel: 7043816800)

πŸ“
Business Mailing Address (Initial Record) April 05, 2022

Registered at 1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 282035812

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2022

Recorded as NATHANIEL LEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891436572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: July 22, 2026
Sole Proprietor: No

Mailing Address

23106 Se Evergreen St

Black Diamond, WA 980105107

Phone: 8134171789

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.