Active NPI
Lyneah Macella Maciel, RN
- Registered Nurse
- Shelton, WA
National Provider Identifier
1013662931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61215169
- Practice address
- 307 W Cota St
Shelton, WA 98584-2265 - Phone
- (360) 205-8002
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61215169 | WA | Primary |
Addresses
Primary practice location
307 W Cota St
Shelton, WA 98584-2265
Mailing address
702 Martin Luther King Jr Way Apt 209
Tacoma, WA 98405-4144
Phone (714) 277-7724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61215169 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1013662931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MARTIN LUTHER KING JR WAY APT 209",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054144",
"telephone_number": "714-277-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W COTA ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985842265",
"telephone_number": "360-205-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIEL",
"first_name": "LYNEAH",
"middle_name": "MACELLA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61215169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.