Active NPI
Danielle May Spellacy Banks, MD
- Family Medicine Physician
- Spokane, WA
National Provider Identifier
1609446376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 70143089
- Practice address
- 624 E Front Ave
Spokane, WA 99202-2139 - Phone
- (509) 626-9900
- NPI assigned
- Jun 25, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 70143089 | WA | Primary |
Addresses
Primary practice location
624 E Front Ave
Spokane, WA 99202-2139
Mailing address
624 E Front Ave
Spokane, WA 99202-2139
Other practice location 1
412 E Spokane Falls Blvd
Spokane, WA 99202-2131
Phone (509) 358-7500
Other practice location 2
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
Other names 1
- Danielle May Spellacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204003480 | WA | Order and Referring Only - Family Practice | 0840648671 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Washington State University Elson S Floyd College of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12914 NE 37TH St
Vancouver, WA 98682-7626
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1609446376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 E FRONT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E FRONT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022139",
"telephone_number": "509-626-9900"
}
],
"practiceLocations": [
{
"address_1": "412 E Spokane Falls Blvd",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992022131",
"country_code": "US",
"telephone_number": "509-358-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16811 SE McGillivray Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986833404",
"country_code": "US",
"telephone_number": "360-735-8100",
"fax_number": "360-253-1781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKS",
"first_name": "DANIELLE",
"middle_name": "MAY SPELLACY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "70143089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "SPELLACY",
"middle_name": "MAY",
"code": "1",
"type": "Former Name"
}
]
}
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 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.