Susan Bancroft Machuca, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 60081937 Issued in WA

Practice address

1220 116TH Ave NE Ste 203
Bellevue, WA 98004-3826

Phone

(206) 436-9883

NPI assigned

May 26, 2009

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1801021472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 SE 23RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047306",
            "telephone_number": "206-436-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043826",
            "telephone_number": "206-436-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "SUSAN",
        "middle_name": "BANCROFT",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60081937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Lhyle Macdonald, PH.D
• Sean F Macgugan, MA, LMHC
• Mary Mach, RD
• Tu Mach, EAMP
• Deborah Jane Machin, LMP
• Erika Valeria Macias Hernandez
• Dakita Mack, DO
• Micah James Roland Mack, DO
• Shari Mackay
• Kathryn Anne Mackey, L.M.P.

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.