Active NPI
Tonya R Mackey, LMP
- Community Health Worker
- Spokane Valley, WA
National Provider Identifier
1720228232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA00025090
- Practice address
- 708 N Argonne Rd
Spokane Valley, WA 99212-2760 - Phone
- (509) 230-1563
- NPI assigned
- Feb 23, 2009
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA00025090 | WA | Primary |
Addresses
Primary practice location
708 N Argonne Rd
Spokane Valley, WA 99212-2760
Mailing address
12420 E Apache Pass Rd
Spokane, WA 99206-8318
Phone (509) 230-1563
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 |
|---|---|---|---|
| MA00025090 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1720228232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 E APACHE PASS RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992068318",
"telephone_number": "509-230-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 N ARGONNE RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122760",
"telephone_number": "509-230-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "TONYA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "MA00025090",
"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 Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.