Peter Nelson Connolly, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00015725 Issued in WA

Practice address

195 1St PL NW
Suite 1
Issaquah, WA 98027-3285

Phone

(206) 227-6329

Fax

(425) 391-1174

NPI assigned

Feb 27, 2007

Sex

Male

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1871620740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FRONT ST S",
            "address_2": "B303",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274245",
            "telephone_number": "206-227-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 1ST PL NW",
            "address_2": "SUITE 1",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273285",
            "telephone_number": "206-227-6329",
            "fax_number": "425-391-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "PETER",
        "middle_name": "NELSON",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00015725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Facility Supply, LLC
• Tonya L Comstock, PH.D.
• Steven Wayne Conley, R.PH.
• Joanne Kathleen Conner, M.A
• Pam Connolly, LMT
• Toni Renay Conrads, LMP
• Tara Muriel Conroy, MSW, LICSW
• Elizabeth Smith Conwell, LMHC, MHP
• Megan Cook
• Beth Alison Cooper, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.