Active NPI
Mary A Schubert, ARNP
- Women's Health Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1932217023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30000072
- Practice address
- 12303 NE 130TH LN
Suite #420
Kirkland, WA 98034-3099 - Phone
- (425) 899-6400
- Fax
- (425) 899-4490
- NPI assigned
- Aug 28, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30000072 | WA | Primary |
Addresses
Primary practice location
12303 NE 130TH LN
Suite #420
Kirkland, WA 98034-3099
Mailing address
12303 NE 130TH LN
Suite #420
Kirkland, WA 98034-3099
Phone (425) 899-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9627159 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000072 | WA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1932217023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12303 NE 130TH LN",
"address_2": "SUITE #420",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343099",
"telephone_number": "425-899-6400",
"fax_number": "425-899-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12303 NE 130TH LN",
"address_2": "SUITE #420",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343099",
"telephone_number": "425-899-6400",
"fax_number": "425-899-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "MARY",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30000072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9627159",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.