Active NPI
Mary Hoffman, RN
- Pediatric Registered Nurse
- Stanwood, WA
National Provider Identifier
1477959187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- RN00150474
- Practice address
- 26211 72ND Ave NW
Stanwood, WA 98292-6301 - Phone
- (360) 629-1270
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN00150474 | WA | Primary |
Addresses
Primary practice location
26211 72ND Ave NW
Stanwood, WA 98292-6301
Mailing address
26122 31St Ave NW
Stanwood, WA 98292-4915
Phone (360) 629-1270
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00150474 | WA | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1477959187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26122 31ST AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982924915",
"telephone_number": "360-629-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26211 72ND AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926301",
"telephone_number": "360-629-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "WA",
"license": "RN00150474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.