Tina McCrae, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RN 60238314 Issued in WA

Practice address

1150 W Chestnut St
Walla Walla, WA 99362-3971

Phone

(509) 526-1763

Fax

(509) 522-4480

NPI assigned

Nov 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1083044010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W CHESTNUT ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623971",
            "telephone_number": "509-526-1763",
            "fax_number": "509-522-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W CHESTNUT ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623971",
            "telephone_number": "509-526-1763",
            "fax_number": "509-522-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "TINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN 60238314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN 60238314",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina McClintock
• Bryony Jo McCollaugh, D.O.
• Mark McComas
• Rosalyn Harris McCormick, PHARM.D.
• Rebecca Megan McCoy, PHARM.D.
• Shelly M McDiarmid, PT
• Joshua McGarr
• Dustin Curtis McGirr, D.O.
• Patricia M McIlvaine, M.D.
• Alison McKinney

• Student in an Organized Health Care Education/Training Program in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.