Individual provider Active NPI

Christine Marie Barranco, LMP

  • Specialist
  • Spokane, WA
National Provider Identifier
1558580779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00017884 Issued in WA
Practice address
1806 N Division St
Spokane, WA 99207-2311
Phone
(509) 879-6112
Fax
(509) 327-8898
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00017884 WA Primary

Addresses

Primary practice location

1806 N Division St
Spokane, WA 99207-2311

Mailing address

1806 N Division St
Spokane, WA 99207-2311
Phone (509) 879-6112

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
MA00017884WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558580779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072311",
            "telephone_number": "509-879-6112",
            "fax_number": "509-327-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072311",
            "telephone_number": "509-879-6112",
            "fax_number": "509-327-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANCO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.