Active NPI
Patricia Diane Marsh, D.C.
- Chiropractor
- Renton, WA
National Provider Identifier
1245265990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002384
- Practice address
- 19201 108TH Ave SE
#101
Renton, WA 98055-7379 - Phone
- (253) 859-6441
- Fax
- (253) 859-9437
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002384 | WA | Primary |
Addresses
Primary practice location
19201 108TH Ave SE
#101
Renton, WA 98055-7379
Mailing address
19201 108TH Ave SE
#101
Renton, WA 98055-7379
Phone (253) 859-6441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011757 | Medicaid | WA | |
| 124681 | Other | WA | LABOR AND INDUSTRIES |
| MA5633 | Other | WA | REGENCE BLUESHIELD |
| P00105987 | Other | WA | RAILROAD MEDICARE |
Other names 1
- Miss Patricia Diane O'Larey
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 |
|---|---|---|---|
| CH00002384 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petrilli Chiropractic Services PS | Chiropractor | Past | Accepting new patients |
| Marsh Chiropractic, PS | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Renton, WA
- NPI 1467678037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245265990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19201 108TH AVE SE",
"address_2": "#101",
"city": "RENTON",
"state": "WA",
"postal_code": "980557379",
"telephone_number": "253-859-6441",
"fax_number": "253-859-9437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19201 108TH AVE SE",
"address_2": "#101",
"city": "RENTON",
"state": "WA",
"postal_code": "980557379",
"telephone_number": "253-859-6441",
"fax_number": "253-859-9437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "PATRICIA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011757",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "124681",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "MA5633",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00105987",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "O'LAREY",
"middle_name": "DIANE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Renton, 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.