Macvelly Wellness and Medical Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MACVELLY WELLNESS AND MEDICAL SERVICES

Practice address

695 N Legacy Ridge Dr Ste 201
Liberty Lake, WA 99019-7723

Phone

(509) 434-9809

NPI assigned

Aug 6, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vera Nyonglemuga, APRN, FNP-BC, FNP-CNPI 1073102737

Title

Nurse Practitioner/Owner

Phone

(509) 434-9809

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vera Nyonglemuga, FNP-C,FNP-BC

  • Nurse Practitioner
  • Spokane, WA
  • NPI 1073102737
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1346070281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N LEGACY RIDGE DR STE 201",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197723",
            "telephone_number": "509-434-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N LEGACY RIDGE DR STE 201",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197723",
            "telephone_number": "509-434-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACVELLY WELLNESS AND MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "NYONGLEMUGA",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "509-434-9809",
        "authorized_official_credential": "APRN, FNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vladislav Lukin
• Stephen Luna, DC, LMP
• Erika A Lutz
• Angela Mabry
• Brian Thomas Macall, DDS
• Kenneth Alan Mandler, C.O. CERTIFIED ORTHO
• Carina Marie Marker, LMT
• Laura Markmann, PTA
• Nina G Martynenko, RN
• Scott A. May, PHARMD

• Primary Care Clinic/Center in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.