Active NPI
Margaret Mary McGuire-Dale, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1629125935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30006172
- Practice address
- 11516 SE Mill Plain Blvd
Suite 2-E
Vancouver, WA 98684-5005 - Phone
- (503) 775-4931
- Fax
- (503) 788-7289
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 000039296N7 | OR | |
| Women's Health Nurse Practitioner | 363LW0102X | AP30006172 | WA | Primary |
Addresses
Primary practice location
11516 SE Mill Plain Blvd
Suite 2-E
Vancouver, WA 98684-5005
Mailing address
3727 NE Martin Luther King Jr Blvd
Attn: Credentialing
Portland, OR 97212-1112
Phone (503) 775-4931
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9656018 | Medicaid | WA | |
| 000291 | Medicaid | OR |
Other names 1
- Peggy McGuire-Dale
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000039296N7 | OR | MD | Women's Health Nurse Practitioner |
| AP30006172 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of the Columbia/Willamette | Past | Accepting new patients | |
| Planned Parenthood of the Columbia/Willamette, Inc. | Past | Accepting new patients |
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.
-
- Non-Pharmacy Dispensing Site
- Vancouver, WA
- NPI 1699144865
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1053311860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1629125935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
"address_2": "ATTN: CREDENTIALING",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121112",
"telephone_number": "503-775-4931",
"fax_number": "503-788-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11516 SE MILL PLAIN BLVD",
"address_2": "SUITE 2-E",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845005",
"telephone_number": "503-775-4931",
"fax_number": "503-788-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE-DALE",
"first_name": "MARGARET",
"middle_name": "MARY",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "000039296N7",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30006172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9656018",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000291",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "MCGUIRE-DALE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.