Individual provider Active NPI

Debi M Selix, L.M.P.

  • Specialist
  • Maple Valley, WA
National Provider Identifier
1568634061
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00007682 Issued in WA
Practice address
28610 Maple Valley Black Diamond Rd SE
Suite 120
Maple Valley, WA 98038-8199
Phone
(253) 381-4298
NPI assigned
Mar 25, 2008
Last updated
Sep 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00007682 WA Primary

Addresses

Primary practice location

28610 Maple Valley Black Diamond Rd SE
Suite 120
Maple Valley, WA 98038-8199

Mailing address

PO Box 1154
Maple Valley, WA 98038-1154
Phone (253) 381-4298

Other identifiers 1

IdentifierTypeStateIssuer
MA00007682OtherWASTATE LICENSE LMP

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
MA00007682WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1568634061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980381154",
            "telephone_number": "253-381-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28610 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE 120",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388199",
            "telephone_number": "253-381-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIX",
        "first_name": "DEBI",
        "middle_name": "M",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00007682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE LMP",
            "identifier": "MA00007682",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; 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.