Active NPI
Marlene May Gilliland, CMA
- Other Technician
- Toppenish, WA
National Provider Identifier
1437202678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- HC00148288
- Practice address
- 408 Buster Road
Toppenish, WA 98958 - Phone
- (509) 865-2102
- Fax
- (509) 865-1729
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | HC00148288 | WA | Primary |
Addresses
Primary practice location
408 Buster Road
Toppenish, WA 98958
Mailing address
1424 S 25TH Ave
Yakima, WA 98902-5100
Phone (509) 457-3622
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
- Credentials
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC00148288 | WA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437202678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 S 25TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989025100",
"telephone_number": "509-457-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 BUSTER ROAD",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "98958",
"telephone_number": "509-865-2102",
"fax_number": "509-865-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLILAND",
"first_name": "MARLENE",
"middle_name": "MAY",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "WA",
"license": "HC00148288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.