Marlise C Huckabey, LVN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

VN209162 Issued in CA

Practice address

41002 County Center Dr Ste 320
Temecula, CA 92591-6027

Phone

(951) 600-6355

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1144776626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31743 POPPY ST",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968748",
            "telephone_number": "951-852-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR STE 320",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916027",
            "telephone_number": "951-600-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKABEY",
        "first_name": "MARLISE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "VN209162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Temecula, CA
• Providers in Temecula, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.