Active NPI
Mary M. Janci, ARNP
- Family Nurse Practitioner
- Spokane, WA
National Provider Identifier
1699700252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005466
- Practice address
- 105 W 8TH Ave Ste 7010
Spokane, WA 99204-2312 - Phone
- (509) 353-3901
- Fax
- (509) 227-7070
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00067944 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30005466 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave Ste 7010
Spokane, WA 99204-2312
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 353-3901
Other practice location 1
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4882
Other practice location 2
108 W 8TH Ave Ste 7010
Spokane, WA 99204
Phone (509) 474-6525
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71694U | Other | WA | REGENCE BLUESHIELD |
| 9628397 | Medicaid | WA | |
| 0142268 | Other | WA | LABOR & INDUSTRY |
Other names 1
- Mary Moyer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjanci1226931@wm.providencedirect.org | Direct |
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus E Kuypers MD PC | Past | Accepting new patients |
Interoperability endpoints
- mjanci1226931@wm.providencedirect.org
Organizations & group practices 1
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.
-
- Geriatric Medicine (Family Medicine) Physician
- La Conner, WA
- NPI 1205907789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1699700252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "509-353-3901",
"fax_number": "509-227-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE STE 7010",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042312",
"telephone_number": "509-353-3901",
"fax_number": "509-227-7070"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981950001",
"country_code": "US",
"telephone_number": "206-598-4882",
"fax_number": "206-598-4976",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 W 8TH AVE STE 7010",
"address_purpose": "LOCATION",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99204",
"country_code": "US",
"telephone_number": "509-474-6525",
"fax_number": "509-598-2106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANCI",
"first_name": "MARY",
"middle_name": "M.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2021-06-09",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00067944",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "71694U",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9628397",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0142268",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjanci1226931@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "108 W 8TH AVE STE 7010",
"city": "SPOKANE",
"state": "WA",
"country_code": "US",
"postal_code": "99204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "MOYER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.