Individual provider Active NPI

Mary Elizabeth Cain, ARNP, MC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shoreline, WA
National Provider Identifier
1003187352
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30005320 Issued in WA
Practice address
1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104
Phone
(206) 361-2379
Fax
(206) 523-2978
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30005320 WA Primary

Addresses

Primary practice location

1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104

Mailing address

1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104
Phone (206) 361-2379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112003503 WA Practitioner - Nurse Practitioner 0749425429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1424 NE 155TH St
Suite 205
Shoreline, WA 98155-7104
Phone (206) 361-2379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30005320WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Elizabeth Cain Psychiatric/Mental Health CurrentSince May 27, 2024 Accepting new patients

Locations

1424 NE 155th St
Ste 205
Shoreline, WA 98155
Phone (206) 361-2379

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1003187352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 205",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "206-361-2379",
            "fax_number": "206-523-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 205",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "206-361-2379",
            "fax_number": "206-523-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ARNP, MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30005320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.