Individual provider Active NPI

Michelle Kay Priszner, MA60255426

  • Contractor
  • Everett, WA
National Provider Identifier
1639440670
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA60255426 Issued in WA
Practice address
2122 19TH St
Everett, WA 98201-2467
Phone
(425) 252-0344
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA60255426 WA Primary

Addresses

Primary practice location

2122 19TH St
Everett, WA 98201-2467

Mailing address

2122 19TH St
Everett, WA 98201-2467
Phone (425) 252-0344

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

State licenses

LicenseStateTypeSpecialty
MA60255426WAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1639440670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 19TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012467",
            "telephone_number": "425-252-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 19TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012467",
            "telephone_number": "425-252-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISZNER",
        "first_name": "MICHELLE",
        "middle_name": "KAY",
        "credential": "MA60255426",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA60255426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.