Active NPI
Winnie Lou Mann, MD
- Specialist
- Redmond, WA
National Provider Identifier
1114127396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00016033
- Practice address
- 14681 NE 95TH St
Redmond, WA 98052-2556 - Phone
- (425) 739-0700
- Fax
- (425) 883-1566
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD00016033 | WA | Primary |
Addresses
Primary practice location
14681 NE 95TH St
Redmond, WA 98052-2556
Mailing address
14681 NE 95TH St
Redmond, WA 98052-2556
Phone (425) 739-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safegard Services Inc. | Specialist | Past | Accepting new patients |
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.
-
- Specialist
- Redmond, WA
- NPI 1346308301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1114127396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14681 NE 95TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522556",
"telephone_number": "425-739-0700",
"fax_number": "425-883-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14681 NE 95TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522556",
"telephone_number": "425-739-0700",
"fax_number": "425-883-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "WINNIE",
"middle_name": "LOU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00016033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.