Active NPI
Nicole Lynette Newcomb, LMP
- Specialist
- Marysville, WA
National Provider Identifier
1780990895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60090684
- Practice address
- 9501 State Ave Ste a
Marysville, WA 98270-2235 - Phone
- (360) 651-8264
- Fax
- (360) 658-9021
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60090684 | WA | Primary |
Addresses
Primary practice location
9501 State Ave Ste a
Marysville, WA 98270-2235
Mailing address
9501 State Ave Ste a
Marysville, WA 98270-2235
Phone (360) 651-8264
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 |
|---|---|---|---|
| MA60090684 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1780990895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 STATE AVE STE A",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702235",
"telephone_number": "360-651-8264",
"fax_number": "360-658-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 STATE AVE STE A",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702235",
"telephone_number": "360-651-8264",
"fax_number": "360-658-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "NICOLE",
"middle_name": "LYNETTE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60090684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
- New Life Addiction and Recovery Services PLLC
- New Life Addiction and Recovery Services PLLC
- New Life Counseling Services PLLC
- New Life for Everyone PLLC
- New Life Lab Services LLC
- Paula Georgette Newman-Skomski, ARNP, FNP-C
- Emily Camchau DO Nguyen, O.D.
- Julian Nghia Nguyen, DDS
- Tuyen M Nguyen, MD
- Sheldon Nichols, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.