Active NPI
Michelle Lynn McCabe, RCEP, CCRP
- Clinical Exercise Physiologist
- Puyallup, WA
National Provider Identifier
1760130819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 1450 5TH St SE Ste 2500
Puyallup, WA 98372-4692 - Phone
- (253) 697-3759
- Fax
- (253) 697-3325
- NPI assigned
- Mar 16, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
1450 5TH St SE Ste 2500
Puyallup, WA 98372-4692
Mailing address
1450 5TH St SE Ste 2500
Puyallup, WA 98372-4692
Phone (253) 697-3759
Other names 1
- Shelley McCabe
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1760130819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 5TH ST SE STE 2500",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724692",
"telephone_number": "253-697-3759",
"fax_number": "253-697-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 5TH ST SE STE 2500",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724692",
"telephone_number": "253-697-3759",
"fax_number": "253-697-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "RCEP, CCRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "MCCABE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.