Active NPI
Margie Carol Neely, CNM ARNP
- Advanced Practice Midwife
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP60240768
- Practice address
- 916 Pacific Ave FL 2
Everett, WA 98201-4147 - Phone
- (425) 303-6500
- NPI assigned
- May 23, 2012
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP60240768 | WA | Primary |
Addresses
Primary practice location
916 Pacific Ave FL 2
Everett, WA 98201-4147
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other practice location 1
1 E Main St Ste 100
Auburn, WA 98002-4905
Phone (425) 690-3480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021761 | Medicaid | WA | |
| AP60240768 | Other | WA | WSL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60240768 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Valley Medical Group-Renton | Advanced Practice Midwife | Current | Accepting new patients |
Locations
1 E Main St
Ste 100
Auburn, WA 98002
Phone (253) 939-9654
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
529 Jasmine St
Omak, WA 98841
Phone (509) 826-1600
810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
Advanced Practice Midwife
-
- Rural Health Clinic/Center
- Omak, WA
- NPI 1558398230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1982964912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 PACIFIC AVE FL 2",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014147",
"telephone_number": "425-303-6500"
}
],
"practiceLocations": [
{
"address_1": "1 E Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980024905",
"country_code": "US",
"telephone_number": "425-690-3480",
"fax_number": "425-690-9480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEELY",
"first_name": "MARGIE",
"middle_name": "CAROL",
"credential": "CNM ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP60240768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021761",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WSL",
"identifier": "AP60240768",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.