Individual provider Active NPI

Patricia L McQuinn

  • Specialist
  • Edmonds, WA
National Provider Identifier
1972621662
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00012594 Issued in WA
Practice address
7631 212TH St SW Ste 106B
Edmonds, WA 98026-7565
Phone
(206) 546-6666
Fax
(206) 400-2702
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00012594 WA Primary

Addresses

Primary practice location

7631 212TH St SW Ste 106B
Edmonds, WA 98026-7565

Mailing address

7631 212TH St SW Ste 106B
Edmonds, WA 98026-7565
Phone (206) 618-1279

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

LicenseStateTypeSpecialty
MA00012594WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Massage and Wellness CurrentSince Dec 22, 2019 Accepting new patients

Locations

7631 212th St SW
Ste 106B
Edmonds, WA 98026
Phone (206) 546-6666

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1972621662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW STE 106B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "206-618-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW STE 106B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "206-546-6666",
            "fax_number": "206-400-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUINN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00012594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.