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Active NPI 1376527648 Individual Practitioner Female Practitioner

Mary Alice Mccubbins , PNP

Nurse Practitioner - Pediatrics • Longview, WA

Professional Overview & Biography Verified Profile Summary

Mary Mccubbins, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Longview, WA. Practice services are available at 971 11TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

971 11th Ave

Longview, WA 98632

Telephone 3604236140
Fax 3604231405
Associated Practice Facility / Clinic
🏢 Child & Adolescent Clinic, Ps Facility NPI 1144275777

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Longview, WA (508 Statewide)

Telehealth Adoption Rate
0.0% 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WA AP60567776

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2047772 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1083653349

Advanced Registered Nurse Practitioner

NPI 1093276123

Doctor of Medicine (M.D.)

NPI 1215041124

Doctor of Medicine (M.D.)

NPI 1225094030

Doctor of Medicine (M.D.)

NPI 1245279587

Advanced Registered Nurse Practitioner

NPI 1336105055

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 06, 2018

Registered at 971 11TH AVE, LONGVIEW, WA 98632 (Tel: 3604236140)

📍
Updated Business Mailing Address June 06, 2018

Registered at 971 11TH AVE, LONGVIEW, WA 986322503 (Tel: 3604236140)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Nurse Practitioner (License #AP60567776 in WA)

NPI Profile Active October 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2015

Registered at 1 CHILDRENS PL, SAINT LOUIS, MO 631101002 (Tel: 3144546070)

📍
Updated Business Mailing Address October 23, 2015

Registered at 660 S EUCLID AVE, C B 8235, SAINT LOUIS, MO 631101010 (Tel: 3144546070)

👤
Provider Name / Credentials Updated October 23, 2015

Recorded as MARY MCCUBBINS, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2015

Nurse Practitioner (License #2008026742 in MO)

🟢
Initial NPI Registration & Enumeration December 01, 2005

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: 1376527648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: June 06, 2018
Sole Proprietor: No

Mailing Address

971 11th Ave

Longview, WA 986322503

Phone: 3604236140

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.