Mary Elizabeth Dash, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP60371254 Issued in WA

Practice address

13617 56TH Ave NE
Marysville, WA 98271-7734

Phone

(775) 721-1504

Fax

(360) 386-9293

NPI assigned

Jan 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• May Elizabeth Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1568852697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 56TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982717734",
            "telephone_number": "775-721-1504",
            "fax_number": "360-386-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 56TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982717734",
            "telephone_number": "775-721-1504",
            "fax_number": "360-386-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASH",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60371254",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60371254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAY",
            "last_name": "PORTER",
            "middle_name": "ELIZABETH",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly M Dale, ARNP
• Sohrab Daneshfar, PHARM.D.
• Daniel Hwang DMD PLLC (Creo Dentistry)
• Malynda Charlotte Daniels, LMP
• Sibani Das
• Chad Davis
• Tricia Nicole Davis
• Rachel Diane Dawson, MD
• Maria Carolina De Bruyn, M.A.
• Fa Abigail C De Imus, MD

• Gerontology Nurse Practitioner in Marysville, WA
• Providers in Marysville, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.