Individual provider Active NPI

Jacqueline Marcelle Draszt

  • Other Technician
  • Spokane Valley, WA
National Provider Identifier
1326356379
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
21 S Thierman Rd
Spokane Valley, WA 99212-5063
Phone
(509) 534-4084
Fax
(509) 534-4084
NPI assigned
Sep 23, 2010
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU Primary

Addresses

Primary practice location

21 S Thierman Rd
Spokane Valley, WA 99212-5063

Mailing address

21 S Thierman Rd
Spokane Valley, WA 99212-5063
Phone (509) 534-4084

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

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1326356379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S THIERMAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992125063",
            "telephone_number": "509-534-4084",
            "fax_number": "509-534-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S THIERMAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992125063",
            "telephone_number": "509-534-4084",
            "fax_number": "509-534-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRASZT",
        "first_name": "JACQUELINE",
        "middle_name": "MARCELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 23, 2010; 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.