Active NPI
Lynn Marie McClatchey, ARNP
- Women's Health Nurse Practitioner
- Spokane, WA
National Provider Identifier
1811989940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30003390
- Practice address
- 920 N Washington St Ste 200
Spokane, WA 99201-2229 - Phone
- (509) 252-4200
- Fax
- (509) 252-4201
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30003390 | WA | Primary |
Addresses
Primary practice location
920 N Washington St Ste 200
Spokane, WA 99201-2229
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A012 | Other | WA | TRIWEST |
| 7781511 | Other | WA | AETNA |
| 1019684 | Medicaid | WA | |
| 805081300 | Medicaid | ID |
Other names 1
- Lynn Marie Hudson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30003390 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Surgical Specialists, PS | Current | Accepting new patients | |
| Columbia Surgical Specialists, PS | Current | Accepting new patients |
Locations
217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326
920 N Washington St
Ste 200
Spokane, WA 99201
Phone (509) 252-4200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Spokane, WA
- NPI 1417067372
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1477617751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1811989940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455",
"fax_number": "509-227-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N WASHINGTON ST STE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012229",
"telephone_number": "509-252-4200",
"fax_number": "509-252-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLATCHEY",
"first_name": "LYNN",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30003390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A012",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7781511",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019684",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805081300",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "HUDSON",
"middle_name": "MARIE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.