Active NPI
Stacy S Hill, LMP
- Specialist
- Lynnwood, WA
National Provider Identifier
1134340367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MO00007444
- Practice address
- 202 164TH St SW
Suite 4
Lynnwood, WA 98087-8189 - Phone
- (206) 229-6789
- Fax
- (425) 523-1960
- NPI assigned
- May 2, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MO00007444 | WA | Primary |
Addresses
Primary practice location
202 164TH St SW
Suite 4
Lynnwood, WA 98087-8189
Mailing address
202 164TH St SW # 4
Lynnwood, WA 98087-8189
Phone (206) 229-6789
Other names 1
- Mrs. Stacy S Pel
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 |
|---|---|---|---|
| MO00007444 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134340367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 164TH ST SW # 4",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878189",
"telephone_number": "206-229-6789",
"fax_number": "425-513-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 164TH ST SW",
"address_2": "SUITE 4",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878189",
"telephone_number": "206-229-6789",
"fax_number": "425-523-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "STACY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MO00007444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "PEL",
"middle_name": "S",
"prefix": "MRS.",
"credential": "LMP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.