Anne Marjorie Erickson-Hare, OTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OC00000930 Issued in WA

Practice address

311 NE 3Rd St
Careage of Whidbey
Coupeville, WA 98239-3427

Phone

(360) 678-2273

NPI assigned

Jun 4, 2007

Sex

Female

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912109729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 WOODBINE RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608222",
            "telephone_number": "360-321-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 3RD ST",
            "address_2": "CAREAGE OF WHIDBEY",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393427",
            "telephone_number": "360-678-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON-HARE",
        "first_name": "ANNE",
        "middle_name": "MARJORIE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "OC00000930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josslyn Drye
• E Christopher Outlund MD PC
• Jennifer Lynn Elias, MSW
• E Patricia Jeanne Engel, MD
• Matthew Daniel Engel, DO
• Elizabeth L Erickson, M.S., CCC-SLP
• Harris Esarey, PT, DPT
• Lindsay Rae Farish, DPT
• Emily Jean Fried, DNP
• Fusion Physical Therapy and Wellness, PLLC

• Skilled Nursing Facility in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.