Active NPI
Mary Lynn McRae, L.M.T.
- Specialist
- Spokane Valley, WA
National Provider Identifier
1700909652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00009102 MASSAGE
- Practice address
- 807 N Argonne Rd
Spokane Valley, WA 99212-2789 - Phone
- (509) 924-3551
- Fax
- (509) 924-3551
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00009102 MASSAGE | WA | Primary |
Addresses
Primary practice location
807 N Argonne Rd
Spokane Valley, WA 99212-2789
Mailing address
23005 E Mocha LN
Liberty Lake, WA 99019-9432
Phone (509) 255-6035
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00009102 MASSAGE | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700909652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23005 E MOCHA LN",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990199432",
"telephone_number": "509-255-6035",
"fax_number": "509-255-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N ARGONNE RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122789",
"telephone_number": "509-924-3551",
"fax_number": "509-924-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "MARY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00009102 MASSAGE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.