Active NPI
Tammy Lynn Magner, L.M.P.
- Specialist
- Bellingham, WA
National Provider Identifier
1962612119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00024129
- Practice address
- 1256 N State St
YMCA
Bellingham, WA 98225 - Phone
- (360) 733-4222
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00024129 | WA | Primary |
Addresses
Primary practice location
1256 N State St
YMCA
Bellingham, WA 98225
Mailing address
2625 Racine St
Bellingham, WA 98226-3619
Phone (360) 223-4620
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 |
|---|---|---|---|
| MA00024129 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1962612119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 RACINE ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982263619",
"telephone_number": "360-223-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 N STATE ST",
"address_2": "YMCA",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-733-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNER",
"first_name": "TAMMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00024129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.