Active NPI
Vicki L Macy
- Obstetrics & Gynecology Physician
- Ellensburg, WA
National Provider Identifier
1619985686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- TL4276
- Practice address
- 700 E Manitoba Ave
Ste 109
Ellensburg, WA 98926-3885 - Phone
- (509) 933-8720
- NPI assigned
- Aug 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TL4276 | WY | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD60586432 | WA |
Addresses
Primary practice location
700 E Manitoba Ave
Ste 109
Ellensburg, WA 98926-3885
Mailing address
2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-9098
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60586432 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary K. Beard MD | Obstetrics & Gynecology | Past | Accepting new patients |
| Hannele Laine, MD, PC | Past | Accepting new patients |
Interoperability endpoints
- vicki_macy_-_ob-gyn_md@yourcarecommunity.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- SLC, UT
- NPI 1629376405
-
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
- NPI 1669617445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1619985686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 ELM ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015108",
"telephone_number": "307-324-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MANITOBA AVE",
"address_2": "STE 109",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263885",
"telephone_number": "509-933-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACY",
"first_name": "VICKI",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WY",
"license": "TL4276",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60586432",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.