Individual provider Active NPI

Marisol Sanchez, PC 60355053

  • Technician
  • Everett, WA
National Provider Identifier
1124643770
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
604605339 Issued in WA
Practice address
8807 Emerson PL
Everett, WA 98208-1947
Phone
(206) 356-6529
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 604605339 WA Primary

Addresses

Primary practice location

8807 Emerson PL
Everett, WA 98208-1947

Mailing address

8807 Emerson PL
Everett, WA 98208-1947
Phone (206) 356-6529

Other identifiers 4

IdentifierTypeStateIssuer
604605339MedicaidWA
60355053OtherWAMADICARE AND MEDICAID
604605339OtherWAMADICARE AND MEDICAID
6035505MedicaidWA

Other names 1

  • Marisol Sanchez Professional name

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

LicenseStateTypeSpecialty
604605339WAMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1124643770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8807 EMERSON PL",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982081947",
            "telephone_number": "206-356-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8807 EMERSON PL",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982081947",
            "telephone_number": "206-356-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MARISOL",
        "name_prefix": "Miss",
        "credential": "PC 60355053",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "WA",
            "license": "604605339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604605339",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MADICARE AND MEDICAID",
            "identifier": "60355053",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MADICARE AND MEDICAID",
            "identifier": "604605339",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6035505",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "SANCHEZ",
            "credential": "MY SELF",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.