Active NPI
Annamarie Mackey, MD
- Family Medicine Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60487160
- Practice address
- 21911 76TH Ave W Ste 110
Edmonds, WA 98026-7918 - Phone
- (425) 640-4950
- Fax
- (425) 640-4958
- NPI assigned
- Apr 13, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60487160 | WA | Primary |
Addresses
Primary practice location
21911 76TH Ave W Ste 110
Edmonds, WA 98026-7918
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
125 16th Ave E
Suite CSB 5
Seattle, WA 98112-5211
Phone (206) 326-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205193315 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21911 76TH Ave W
Suite 110
Edmonds, WA 98026-7918
Phone (425) 640-4950
Hospital & facility affiliations
- Swedish Edmonds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborcare Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | Accepting new patients |
| Swedish Edmonds | Past | Accepting new patients |
Locations
21911 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 640-4950
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
800 5th Ave
Ste 600
Seattle, WA 98104
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
125 16th Ave E
Ste Csb
Seattle, WA 98112
Phone (206) 326-2555
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
Family Medicine
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1205193315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21911 76TH AVE W STE 110",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267918",
"telephone_number": "425-640-4950",
"fax_number": "425-640-4958"
}
],
"practiceLocations": [
{
"address_1": "125 16th Ave E",
"address_2": "Suite CSB 5",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981125211",
"country_code": "US",
"telephone_number": "206-326-3530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKEY",
"first_name": "ANNAMARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60487160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205193315",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.