Active NPI
Mary R Scribner
- Other Technician
- Maple Valley, WA
National Provider Identifier
1104000413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- VA00071672
- Practice address
- 22117 SE 237TH St
Maple Valley, WA 98038 - Phone
- (206) 763-2626
- NPI assigned
- Dec 21, 2007
- Last updated
- Dec 21, 2007
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | VA00071672 | WA | Primary |
Addresses
Primary practice location
22117 SE 237TH St
Maple Valley, WA 98038
Mailing address
16712 117TH Ave SE
Renton, WA 98058-5302
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA00071672 | WA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bartell Drug Co | Past | Accepting new patients | |
| The Bartell Drug Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1104000413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16712 117TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980585302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22117 SE 237TH ST",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "98038",
"telephone_number": "206-763-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIBNER",
"first_name": "MARY",
"middle_name": "R",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "WA",
"license": "VA00071672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.