IndividualActive
Mary Mccubbins, PNP
NPI 1376527648 · Pediatric Nurse Practitioner · Longview, WA
Provider details
- NPI number
- 1376527648
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP60567776 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
971 11th Ave
Longview, WA 98632
Phone: (360) 423-6140
Fax: (360) 423-1405
Street-level locationGet directions
Mailing address
971 11th Ave
Longview, WA 98632-2503
Registry dates
- Enumerated
- 2005-12-01
- Last updated
- 2018-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.