Active NPI
Starr Marie Tacey, L.M.P.
- Contractor
- Port Orchard, WA
National Provider Identifier
1477883387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA60055117
- Practice address
- 3100 SE Mile Hill Dr Ste a
Port Orchard, WA 98366-2962 - Phone
- (360) 895-4844
- NPI assigned
- Dec 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA60055117 | WA | Primary |
Addresses
Primary practice location
3100 SE Mile Hill Dr Ste a
Port Orchard, WA 98366-2962
Mailing address
PO Box 1628
Port Orchard, WA 98366
Phone (360) 895-4844
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 |
|---|---|---|---|
| MA60055117 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1477883387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1628",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "360-895-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SE MILE HILL DR STE A",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662962",
"telephone_number": "360-895-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACEY",
"first_name": "STARR",
"middle_name": "MARIE",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-29",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "MA60055117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
- Sunray Treatment and Recovery
- Susan Putaansuu, MN, Arnp, PLLC (Sound Mind & Health Psychiatric Services)
- Susan Putaansuu, MN, Arnp, Pmhnp-BC (Sound Mind & Health Psychiatric Services)
- Sarah Anne Sutton, LSWAIC
- Jon R Tacey, LMP
- Danielle Bea Talley, MA60106229
- Mary C Tammen, PT, DPT
- Richard J. Tanaka, M.D.
- Keith C Tang, M.D.
- Tangerine Health Professionals PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.