MARY LOU MCCORMACK (NPI# 1790293447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790293447 |
| Entity Type | Individual |
| Full Name | MARY LOU MCCORMACK |
| Credential | RN |
| Practice Address |
19 Lakes Street Nespelem WA 99155 |
| Mailing Address |
Po Box 71 Nespelem WA 99155-0071 |
| Practice Telephone | 5096342900 |
| Mailing Telephone | 5096342900 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
60802429 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RN | 60802429 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649759630 | Mary E. Mccormack | Social Worker | 10 Cutting Cross Way, Wayland, MA 01778-3844 | 2018-08-09 |
| 1952710097 | Mary Bridget Mccormack | Nurse Practitioner | 25 Winthrop Rd, Hingham, MA 02043-3532 | 2014-08-02 |
| 1225267511 | Mary Bridget Mccormack | Nurse Practitioner | 208 Roxbury Ave, Rockaway Point, NY 11697-1406 | 2009-07-08 |
| 1225169121 | Mary Mccormack | Nurse Practitioner | 241 W 57th St, New York, NY 10019-2121 | 2007-03-09 |
| 1104978659 | Mary M Mccormack | Dietitian, Registered | 12458 Mcgregor Woods Cir, Fort Myers, FL 33908-2459 | 2007-01-17 |
| 1104939958 | Mary Eileen Mccormack | Obstetrics & Gynecology | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2006-08-16 |
| 1083103303 | Mary Margaret Mccormack | Registered Nurse | 735 Attucks Ln, Hyannis, MA 02601-1867 | 2018-05-02 |
| 1972760940 | Mary Ellen Mccormack | Dentist | 711 W North Ave, Chicago, IL 60610 | 2008-05-19 |
| Street Address |
19 LAKES STREET |
| City | NESPELEM |
| State | WA |
| Zip Code | 99155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131386 | Larry D Smith | Emergency Medicine | 19 Lakes Street, Nespelem, WA 99155 | 2006-04-06 |
| 1730712167 | Katrina Duncan | Technician | 19 Lakes Street, Nespelem, WA 99155 | 2020-02-13 |
| 1326670233 | Sabrina Lynn Brewer | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155 | 2020-02-08 |
| 1154984342 | Wendy Bordelon Hebert | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155 | 2019-04-15 |
| 1346723533 | Jessica R Dennison | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155 | 2018-09-13 |
| 1154838571 | Rinku Shewa | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155 | 2018-01-08 |
| 1609389808 | Kelli Goslin | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155 | 2017-11-09 |
| 1568810885 | Colville Indian Health Service | Clinic/Center | 19 Lakes Street, Nespelem, WA 99155 | 2016-05-26 |
| 1164864856 | Jerrod R Peterson | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155-0071 | 2013-07-23 |
| 1689948689 | Camille Fiona Alicia Aiken | Dental Hygienist | 19 Lakes Street, Nespelem, WA 99155 | 2012-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841655727 | Brittany Carden | Counselor | 21 Colville St, Nespelem, WA 99155 | 2015-12-21 |
| 1265855704 | Linda Charlene Bart | Counselor | 19 Sanpoil St, Nespelem, WA 99155 | 2014-02-03 |
| 1811104334 | Lee Vernon Elton | Emergency Medical Technician, Intermediate | 1 Colville Streets, Nespelem, WA 99155 | 2007-05-16 |
| 1063542645 | Colville Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Campus Hwy 155, Nespelem, WA 99155 | 2007-03-06 |
| 1306993662 | Gloria H Angelo | Pharmacist | 29 Nespelem-sanpoil, Agency Campus, Nespelem, WA 99155 | 2007-01-05 |
| 1174607931 | Sandra Lee Nomee | Spec/Tech, Pathology | 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 | 2006-10-25 |
| 1265529598 | Confederated Tribes of The Colville Reservation | Ambulance | 405 10th St, Nespelem, WA 99155 | 2006-10-06 |
| 1316954118 | Jose Javier Gomez | Psychologist | 1 Colville St, Nespelem, WA 99155 | 2006-08-02 |
| 1922038884 | Donald L Sanford | Optometrist | 29 Nespelem/san Poil St, Nespelem, WA 99155 | 2006-07-04 |
| 1467052118 | Gloria Means | Registered Nurse | 19 Lakes St, Nespelem, WA 99155 | 2020-10-30 |
| Find all providers in zip 99155 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052118 | Gloria Means | Registered Nurse | 19 Lakes St, Nespelem, WA 99155 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643945 | Traci Sheets | Registered Nurse | 6605 W Argent Rd, Pasco, WA 99301-1905 | 2020-06-09 |
| 1639799562 | Shelli Ann Strickland | Registered Nurse | 6149 Gleneagle Ave Sw, Port Orchard, WA 98367-9182 | 2020-04-21 |
| 1346876364 | Helina Pokhrel | Registered Nurse | 14016 A St S # 581-7020, Tacoma, WA 98444-4662 | 2020-03-21 |
| 1275167413 | Nurse Works LLC. | Registered Nurse | 1421 N Laura Rd, Spokane Valley, WA 99212-2524 | 2020-02-26 |
| 1225687890 | Ioana Maria Hall | Registered Nurse | 11220 127th Ave Ne, Kirkland, WA 98033-4121 | 2019-09-06 |
| 1588218788 | Pauline E Martin | Registered Nurse | 2501 Ne 134th St Ste 200, Vancouver, WA 98686-3028 | 2019-07-26 |
| 1467017525 | Doris Maxine Nale | Registered Nurse | 13401 Dumas Rd Apt A202, Mill Creek, WA 98012-5527 | 2019-05-04 |
| 1831669878 | Lin Eilmes | Registered Nurse | 312 W Brita Ave, Spokane, WA 99208-6112 | 2018-12-03 |
| 1154891620 | Valentina Krasteva Rivera | Registered Nurse | 2220 Enchanted Forest Rd, Eastsound, WA 98245-9305 | 2018-11-27 |
| 1427539949 | Jessica Roberts Calhoun | Registered Nurse | Mcclure Middle School, 1915 1st Ave W, Seattle, WA 98119 | 2018-08-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.