Maura (Mary) Angela Van Ness, L.M.P.

Primary specialty

ContractorTaxonomy code 171W00000X

License

WA MASSAGELIC#007892 Issued in WA

Practice address

27516 NE 116TH St
Duvall, WA 98019-9609

Phone

(425) 788-9249

Fax

(425) 788-7319

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740483155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190866",
            "telephone_number": "425-788-9249",
            "fax_number": "425-788-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27516 NE 116TH ST",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980199609",
            "telephone_number": "425-788-9249",
            "fax_number": "425-788-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NESS",
        "first_name": "MAURA (MARY)",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "WA MASSAGELIC#007892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Duvall, WA
• Providers in Duvall, WA by specialty
• Contractor in Washington

• 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.

Verify at the official NPI Registry.