Individual provider Active NPI

Nancy Ann McCown, DC

  • Chiropractor
  • Longview, WA
National Provider Identifier
1619930583
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002167 Issued in WA
Practice address
755 Vandercook Way Ste 101a
Longview, WA 98632-4050
Phone
(360) 577-0294
Fax
(360) 577-2635
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002167 WA Primary

Addresses

Primary practice location

755 Vandercook Way Ste 101a
Longview, WA 98632-4050

Mailing address

755 Vandercook Way Ste 101a
Longview, WA 98632-4050
Phone (360) 577-0294

Other identifiers 3

IdentifierTypeStateIssuer
350017103MedicaidWA
2005866OtherWAHMO
10436OtherWAWA L&I

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1619930583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 VANDERCOOK WAY STE 101A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324050",
            "telephone_number": "360-577-0294",
            "fax_number": "360-577-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 VANDERCOOK WAY STE 101A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324050",
            "telephone_number": "360-577-0294",
            "fax_number": "360-577-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWN",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350017103",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "2005866",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "10436",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.