Jacqueline Marcell-Koledin

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

60672855 Issued in WA

Practice address

8715 23Rd Ave NW
Seattle, WA 98117-3719

Phone

(206) 234-7886

NPI assigned

Sep 26, 2016

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1760931208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 23RD AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 23RD AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173719",
            "telephone_number": "206-234-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELL-KOLEDIN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60672855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Faye Marazita, L. AC.
• Aaron Michael Marble, DO
• Nicole C. Marble, PT
• Marc Alan Kirschner, MD, PS
• Shemaya Melissa Marcel, RN
• Dusty A. Marcell, OTR/L
• Cynthia D Marcello
• Krista P Marceron, MAC, LMHC
• March Forth Therapy PLLC
• Amanda Lynn March, DO

• Psychiatric/Mental Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.