Mary Jane Norby, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10001310 Issued in WA

Practice address

16259 Sylvester Rd SW
#401
Seattle, WA 98166-3059

Phone

(206) 241-9465

Fax

(206) 241-9467

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619021458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "#401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-241-9465",
            "fax_number": "206-241-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "#401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-241-9465",
            "fax_number": "206-241-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBY",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10001310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8348658",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Noordam, ARNP
• Rusul Noori
• Hillal Nor
• Peter C Nora, MD
• Norah Essali MD PLLC
• Norco, Inc
• Ralph Alan Nord, DDS
• Richelle Louise Nordeen, MA, LMHC
• Ashley Laurel Nordell, RN, MSN, CPNP-PC
• Kathleen E Nordgren, LAC

• Medical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Physician Assistant in Washington

• 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.