Active NPI
Inna A Mulyarchuk, LMP
- Specialist
- Auburn, WA
National Provider Identifier
1902137458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60118676
- Practice address
- 12821 SE 301St St
Auburn, WA 98092-2187 - Phone
- (253) 886-9336
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60118676 | WA | Primary |
Addresses
Primary practice location
12821 SE 301St St
Auburn, WA 98092-2187
Mailing address
12821 SE 301St St
Auburn, WA 98092
Phone (253) 886-9336
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60118676 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1902137458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 SE 301ST ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "98092",
"telephone_number": "253-886-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 SE 301ST ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980922187",
"telephone_number": "253-886-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULYARCHUK",
"first_name": "INNA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60118676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
- Multicare Health System
- Multicare Health System (MultiCare Behavioral Health Inpatient Services - Auburn)
- Multicare Health System (MultiCare Behavioral Health)
- Multicare Health Systems (MultiCare Auburn Medical Center Pharmacy)
- Multicare Health Systems (Multicare Amc Outpatient Pharmacy)
- Kristen Nicole Mundy, BS, PTA
- Rose Mungai
- Joseph Munyiri, AA, LPN
- Mikhail Murashkin, DNP, ARNP FNP-BC
- Mohammed M Muraywid, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.