Active NPI
Melissa Marie Wickey, LMT, EAMP
- Acupuncturist
- Friday Harbor, WA
National Provider Identifier
1669737532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60684688
- Practice address
- 50 Malcom St Ste 711
Friday Harbor, WA 98250-7270 - Phone
- (360) 362-9540
- NPI assigned
- Jul 6, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60644137 | WA | |
| Massage Therapist | 225700000X | 10981 | HI | |
| Acupuncturist | 171100000X | AC60684688 | WA | Primary |
Addresses
Primary practice location
50 Malcom St Ste 711
Friday Harbor, WA 98250-7270
Mailing address
618 Finnegan Way
Friday Harbor, WA 98250
Phone (360) 362-9540
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC60684688 | WA | MD | Acupuncturist |
| 10981 | HI | MD | Massage Therapist |
| MA60644137 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1669737532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 FINNEGAN WAY",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "98250",
"telephone_number": "360-362-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MALCOM ST STE 711",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982507270",
"telephone_number": "360-362-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKEY",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMT, EAMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2024-01-16",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60644137",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "10981",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60684688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.