Active NPI
Molly Dyan McNab, MD
- Family Medicine Physician
- Yakima, WA
National Provider Identifier
1639306335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ML60106754
- Practice address
- 1806 W Lincoln Ave
Yakima, WA 98902-2473 - Phone
- (509) 452-4946
- Fax
- (509) 457-3989
- NPI assigned
- Jun 19, 2009
- 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 | ML60106754 | WA | Primary |
Addresses
Primary practice location
1806 W Lincoln Ave
Yakima, WA 98902-2473
Mailing address
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | WA | RESIDENT |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60106754 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1639306335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 W LINCOLN AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022473",
"telephone_number": "509-452-4946",
"fax_number": "509-457-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W LINCOLN AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022473",
"telephone_number": "509-452-4946",
"fax_number": "509-457-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAB",
"first_name": "MOLLY",
"middle_name": "DYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60106754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT",
"identifier": "00",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.