Mary M. McCracken, S.T.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003449 Issued in WA

Practice address

10516 Silverdale Way NW Ste 110D
Silverdale, WA 98383-8745

Phone

(360) 307-7556

Fax

(360) 698-7488

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1891845954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 NW SCHOLD PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839504",
            "telephone_number": "360-337-7422",
            "fax_number": "360-698-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 SILVERDALE WAY NW STE 110D",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838745",
            "telephone_number": "360-307-7556",
            "fax_number": "360-698-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "MARY",
        "middle_name": "M.",
        "credential": "S.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0176424",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10516 Silverdale Way NW Ste 110D",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cris Kier Aoibhinn McCarty
• Megan McCay
• Matthew H McClernan, IDC
• McCormack Consulting
• Michael Scott McCown, OD
• Selina Danielle McDonald, PAC
• Jodi McDowell
• Richard McDowell
• Gary Patrick McFarland, PT
• Barbara McGinley, CCC-SLP

• Speech-Language Pathologist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.