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Deactivated NPI 1902186935 Deactivated / Inactive NPI Male Practitioner

Johnny Le Mccree , LMP

Specialist • Seattle, 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, Johnny Mccree has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2011
NPI Deactivation Date February 04, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Johnny Mccree, LMP was a registered Specialist practicing in Seattle, WA. Throughout an active medical career spanning 9 years, Johnny Mccree provided care at the practice location at 4915 25TH AVE NE STE 104 until profile deactivation on 2020-02-04.

Practice Location & Contact Primary Location

Practice Address

4915 25th Ave Ne Ste 104

Seattle, WA 981058667

Telephone 2063315799
Fax 2063162308
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.8 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
366 Specialists

Practicing in Seattle, WA (2751 Statewide)

Telehealth Adoption Rate
0.3% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00023397

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1083994008

Licensed Acupuncturist, EAMP

Natalia Chernysheva , LMT

Massage Therapist

NPI 1205506144

Licensed Massage Therapist

Dr. Alexa Macias , DPT

Physical Therapist

NPI 1386517720

Doctor of Physical Therapy

Dr. Jason Godfrey , DPT

Physical Therapist

NPI 1386808889

Doctor of Physical Therapy

Adrian Conrad , LMT

Massage Therapist

NPI 1417636580

Licensed Massage Therapist

Philip Larrance , LMT

Massage Therapist

NPI 1669176657

Licensed Massage Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 04, 2020

Record deactivated on February 04, 2020

NPI Profile Active August 22, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 22, 2011

Registered at 4915 25TH AVE NE STE 104, SEATTLE, WA 981058667 (Tel: 2063315799)

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Updated Business Mailing Address August 22, 2011

Registered at 4915 25TH AVE NE STE 104, SEATTLE, WA 981058667 (Tel: 2063315799)

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Provider Name / Credentials Updated August 22, 2011

Recorded as JOHNNY MCCREE, LMP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2011

Specialist (License #MA00023397 in WA)

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Initial NPI Registration & Enumeration August 22, 2011

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: 1902186935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2011
Last Update: August 22, 2011
Deactivation Date: February 04, 2020

Mailing Address

4915 25th Ave Ne Ste 104

Seattle, WA 981058667

Phone: 2063315799

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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