Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa 'Lee Ann Vivanco, DNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1871088427

Lisa 'Lee Ann Vivanco, DNP is a Nurse Practitioner in Renton, Washington. Qualified in 2018, 8 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

400 S 43rd St
Renton, WA 98055-5714
Phone: (425) 228-3440
Fax: (425) 656-4214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 — (360) 734-5400
  • 325 W Gowe St, Kent, WA 98032-5892 — (253) 833-7444
  • 21847 Se 270th St, Maple Valley, WA 98038-7417 — (206) 660-0023

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60865969 (WA)

Record details

NPI number1871088427
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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