Marcie Marie Eakle, L.M.T.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20082382 Issued in WV

Practice address

410 Water St
Stonewood, WV 26301-4649

Phone

(304) 629-8484

NPI assigned

Aug 15, 2008

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1487800843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MEADOW LN",
            "city": "LOST CREEK",
            "state": "WV",
            "postal_code": "263859645",
            "telephone_number": "304-629-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WATER ST",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263014649",
            "telephone_number": "304-629-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKLE",
        "first_name": "MARCIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": "20082382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Dawn Bartlett, PHARMD
• Brenda Burgess
• Patricia Childers
• Jesse James Crayton
• Sigrid Earnest
• Phyllis Ann Forcucci
• Hayley Golden
• Misty Brie Goodwin
• Brianna Hall

• Community Health Worker in Stonewood, WV
• Providers in Stonewood, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.