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Deactivated NPI 1790391951 Deactivated / Inactive NPI Female Practitioner

Ann Marie O'connor

Specialist • Edmonds, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ann O'connor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2020
NPI Deactivation Date July 12, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Ann O'Connor was a registered Specialist practicing in Edmonds, WA. Throughout an active medical career spanning 1 years, Ann O'Connor provided care at the practice location at 543 MAIN ST STE 102 until profile deactivation on 2021-07-12.

Practice Location & Contact Primary Location

Practice Address

543 Main St Ste 102

Edmonds, WA 980203162

Telephone 2067593022
Associated Practice Facility / Clinic
🏢 Myo-Spir, Llc Facility NPI 1225769797

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Edmonds, WA (2751 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-15
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 15, 2024

Registered at 543 MAIN ST STE 102, EDMONDS, WA 980203162 (Tel: 2067593022)

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Provider Name / Credentials Updated October 15, 2024

Recorded as ANN O'CONNOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2024

Specialist

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Updated Practice Location May 20, 2024

Registered at 620 GLEN ST APT 302, EDMONDS, WA 980203236 (Tel: 2064066065)

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Updated Business Mailing Address May 20, 2024

Registered at 620 GLEN ST APT 302, EDMONDS, WA 980203236 (Tel: 2064066065)

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Provider Name / Credentials Updated May 20, 2024

Recorded as ANN O'CONNOR, RDH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2024

Dental Hygienist (License #00007125 in WA)

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NPI Profile Deactivated July 12, 2021

Record deactivated on July 12, 2021

NPI Profile Active September 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2020

Registered at 620 GLEN ST APT 302, EDMONDS, WA 980203236 (Tel: 2064066065)

📍
Updated Business Mailing Address September 22, 2020

Registered at 620 GLEN ST APT 302, EDMONDS, WA 980203236 (Tel: 2064066065)

👤
Provider Name / Credentials Updated September 22, 2020

Recorded as ANN O'CONNOR, RDH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Dental Hygienist (License #00007125 in WA)

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Initial NPI Registration & Enumeration September 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790391951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2020
Last Update: October 15, 2024
Deactivation Date: July 12, 2021
Sole Proprietor: No

Mailing Address

620 Glen St Apt 302

Edmonds, WA 980203236

Phone: 2064066065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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