Active NPI
Mary L Flick, RN, ARNP
- Family Nurse Practitioner
- Port Townsend, WA
National Provider Identifier
1861667305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005576
- Practice address
- 242 Monroe St
Port Townsend, WA 98368-5709 - Phone
- (360) 385-5658
- NPI assigned
- Apr 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN00136754 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30005576 | WA | Primary |
Addresses
Primary practice location
242 Monroe St
Port Townsend, WA 98368-5709
Mailing address
242 Monroe St
Port Townsend, WA 98368-5709
Phone (360) 385-5658
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00136754 | WA | MD | Emergency Registered Nurse |
| AP30005576 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1861667305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 MONROE ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983685709",
"telephone_number": "360-385-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 MONROE ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983685709",
"telephone_number": "360-385-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICK",
"first_name": "MARY",
"middle_name": "L",
"credential": "RN, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "WA",
"license": "RN00136754",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
- Mary Sarah Ferguson, M.D.
- Michael C Ferguson, LMP
- Tonya M Ferguson, COUNSELOR AGENCY AFF
- Ficus Counseling, PLLC Dba Cascara Counseling, PLLC (Cascara Counseling, PLLC)
- Matthew Fitzpatrick, MD, MPH
- Cynthia Brunner Flowers, M.ED.
- Gary C Forbes, M.D.
- Karen D Forbes, M.D.
- Corinne Forbing
- Molly Marie Force, N.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.