LAKE MERIDIAN PSYCHIATRY PLLC
NPI 1033807532
Nurse Practitioner - Psychiatric/Mental Health in Auburn, WA

Active since April 24, 2023
200 AUBURN AVE STE 3, AUBURN, WA 98002(253) 397-7135 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Meridian Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MERIDIAN PSYCHIATRY PLLC (NPI 1033807532) is a healthcare organization registered as a psychiatric/mental health in Auburn, Washington and active in the NPI registry since April 2023. The organization lists Faduma Abdirahman Haji Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1033807532
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAKE MERIDIAN PSYCHIATRY PLLC
Location Address200 AUBURN AVE STE 3Auburn, WA 98002-5015
Mailing Address200 Auburn Ave Ste 3Auburn, WA 98002-5015 · (253) 397-7135
Organization SubpartNo
Authorized OfficialFaduma Abdirahman Haji AliOwner · (253) 397-7135
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1033807532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
200 AUBURN AVE STE 3, Auburn, WA 98002

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
200 AUBURN AVE STE 3
AUBURN, WA 98002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Meridian Psychiatry PLLC's NPI number?

The NPI number for Lake Meridian Psychiatry PLLC is 1033807532. It was assigned to this organization in the NPPES registry on April 24, 2023.

Where is Lake Meridian Psychiatry PLLC located?

Lake Meridian Psychiatry PLLC is located at 200 Auburn Ave Ste 3, Auburn, WA 98002. The listed phone number is (253) 397-7135.

What is Lake Meridian Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Lake Meridian Psychiatry PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lake Meridian Psychiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Meridian Psychiatry PLLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.