Active NPI
Macy Anne-Noel Ford
- Nurse's Aide
- Spokane Valley, WA
National Provider Identifier
1225561830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 000000019202
- Practice address
- 18609 E 9TH CT
Spokane Valley, WA 99016-8652 - Phone
- (208) 651-9495
- NPI assigned
- Apr 10, 2017
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 000000019202 | ID | Primary |
Addresses
Primary practice location
18609 E 9TH CT
Spokane Valley, WA 99016-8652
Mailing address
18609 E 9TH CT
Spokane Valley, WA 99016-8652
Phone (208) 651-9495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000019202 | Other | ID | NURSE ASSISTANT CERTIFICATION |
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 |
|---|---|---|---|
| 000000019202 | ID | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1225561830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18609 E 9TH CT",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990168652",
"telephone_number": "208-651-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18609 E 9TH CT",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990168652",
"telephone_number": "208-651-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "MACY",
"middle_name": "ANNE-NOEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "ID",
"license": "000000019202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE ASSISTANT CERTIFICATION",
"identifier": "000000019202",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.