Active NPI
Marcie Sundly
- Behavior Technician
- Wasilla, AK
National Provider Identifier
1205360989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1100 N Tom Watson PL
Wasilla, AK 99623-4160 - Phone
- (907) 715-8202
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1100 N Tom Watson PL
Wasilla, AK 99623-4160
Mailing address
1100 N Tom Watson PL
Wasilla, AK 99623-4160
Phone (907) 715-8202
Other names 1
- Marcie Sundly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1205360989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N TOM WATSON PL",
"city": "WASILLA",
"state": "AK",
"postal_code": "996234160",
"telephone_number": "907-715-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N TOM WATSON PL",
"city": "WASILLA",
"state": "AK",
"postal_code": "996234160",
"telephone_number": "907-715-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDLY",
"first_name": "MARCIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIE",
"last_name": "SUNDLY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.