Individual provider Active NPI

Deborah Lynn Banks, LMP

  • Contractor
  • Vancouver, WA
National Provider Identifier
1386910628
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
00006985 Issued in WA
Practice address
210 W Evergreen Blvd
Ste 500
Vancouver, WA 98660-3100
Phone
(360) 639-3863
Fax
(360) 693-6894
NPI assigned
Mar 30, 2012
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 00006985 WA Primary

Addresses

Primary practice location

210 W Evergreen Blvd
Ste 500
Vancouver, WA 98660-3100

Mailing address

210 W Evergreen Blvd
Ste 500
Vancouver, WA 98660-3100
Phone (360) 639-3863

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

LicenseStateTypeSpecialty
00006985WAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Muscular Therapy Past Accepting new patients
Elite Muscular Therapy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1386910628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W EVERGREEN BLVD",
            "address_2": "STE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603100",
            "telephone_number": "360-639-3863",
            "fax_number": "360-693-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W EVERGREEN BLVD",
            "address_2": "STE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603100",
            "telephone_number": "360-639-3863",
            "fax_number": "360-693-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "00006985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.