David Joseph McRae, 175T00000X 101Y0000

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3927 S Lucile St
Seattle, WA 98118-2257

Phone

(206) 483-6054

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1942906318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 S LUCILE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182257",
            "telephone_number": "206-483-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 S LUCILE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182257",
            "telephone_number": "206-483-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "175T00000X  101Y0000",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Jean McQuaig, D.C.
• Amy McQuary, PHARM.D.
• Mary Eileen McQueen, MPSS-HAPZSE
• Tim Charles McQuinn, MD
• William C McQuinn V
• Erika Lynn McRae, CPNP-AC
• Sharon Gail McRae, ARNP
• Tiffany McRae, LICSW
• Heather Anne McRobbie, MASSAGE THERAPIST
• Cathryn Barbara McRuer-Wong, MA, LMHC

• Peer Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.