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Mark Hennecken , LPN

Licensed Practical Nurse β€’ Milton, WA

Active NPI 1811536717 Individual Practitioner Male Practitioner
Practice location in NPPES

7224 Pacific Hwy E.
Milton, WA 98354

Call 2532206183 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7224 Pacific Hwy E.

Milton, WA 98354

Telephone 2532206183
Organization at the Same NPPES Address or Phone
Telecare Mental Health Services Of Washington, Inc. Facility NPI 1568936557

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Milton and Washington

9 active clinicians are listed under Licensed Practical Nurse with a practice address in Milton, WA (1,691 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2019-12-26
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES WA 60984646

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ”„
NPI Profile Reactivated September 19, 2024

Record officially reactivated for active practice on September 19, 2024

πŸ“
Updated Practice Location September 19, 2024

Registered at 7224 PACIFIC HWY E., MILTON, WA 98354 (Tel: 2532206183)

πŸ“
Updated Business Mailing Address September 19, 2024

Registered at 8117 70TH AVE SW, LAKEWOOD, WA 984992009 (Tel: 7203393306)

πŸ‘€
Provider Name / Credentials Updated September 19, 2024

Recorded as MARK HENNECKEN, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2024

Licensed Practical Nurse (license number reported to NPPES: WA 60984646)

⚠️
NPI Profile Deactivated August 05, 2024

NPPES lists this NPI as deactivated as of August 05, 2024; the reason is not published.

βœ…
NPI Profile Active December 26, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 26, 2019

Registered at 7224 PACIFIC HWY E., MILTON, WA 98354 (Tel: 2532206183)

πŸ“
Business Mailing Address (Initial Record) December 26, 2019

Registered at 8117 70TH AVE SW, LAKEWOOD, WA 984992009 (Tel: 7203393306)

πŸ‘€
Provider Name / Credentials (Initial Record) December 26, 2019

Recorded as MARK HENNECKEN, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2019

Licensed Practical Nurse (license number reported to NPPES: WA 60984646)

🟒
Initial NPI Registration & Enumeration December 26, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811536717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2019
Last Update: September 19, 2024
Sole Proprietor: No

Mailing Address

8117 70th Ave Sw

Lakewood, WA 984992009

Phone: 7203393306

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.