Organization Active NPI

Purcellmdical PLLC

  • Internal Medicine Physician
  • Olympia, WA
National Provider Identifier
1285108035
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PURCELLMDICAL PLLC
Doing business as
Purcell MDical PLLC
Practice address
3025 Limited LN NW Ste 105
Olympia, WA 98502-2613
Phone
(360) 951-6434
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Shawna Purcell, MD
Title
Owner
Phone
(360) 810-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3025 Limited LN NW Ste 105
Olympia, WA 98502-2613

Mailing address

3025 Limited LN NW Ste 105
Olympia, WA 98502-2613
Phone (360) 951-6434

Other names 1

  • Purcell MDical PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

3025 Limited Ln NW
Ste 105
Olympia, WA 98502
Phone (360) 951-6434

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1285108035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 LIMITED LN NW STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022613",
            "telephone_number": "360-951-6434",
            "fax_number": "360-413-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 LIMITED LN NW STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022613",
            "telephone_number": "360-951-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELLMDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-810-0526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purcell MDical PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.