Individual provider Active NPI

Marcia Sharell McClaine

  • Registered Nurse
  • Fredericksburg, VA
National Provider Identifier
1659697506
Registry record updated Apr 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001192400 Issued in VA
Practice address
4305 Hastings CT E
Fredericksburg, VA 22408-7707
Phone
(540) 898-3489
NPI assigned
Apr 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001192400 VA Primary

Addresses

Primary practice location

4305 Hastings CT E
Fredericksburg, VA 22408-7707

Mailing address

4305 Hastings CT E
Fredericksburg, VA 22408-7707
Phone (540) 898-3489

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

State licenses

LicenseStateTypeSpecialty
0001192400VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271548800000",
    "number": "1659697506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 HASTINGS CT E",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087707",
            "telephone_number": "540-898-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 HASTINGS CT E",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087707",
            "telephone_number": "540-898-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAINE",
        "first_name": "MARCIA",
        "middle_name": "SHARELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2010-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001192400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2010; 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.