Active NPI
Marcee Wickline, AUD, CCC-A
- Audiologist
- Seatac, WA
National Provider Identifier
1851729156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60398520
- Practice address
- 18237 42ND Ave S
Seatac, WA 98188-4525 - Phone
- (206) 631-3541
- NPI assigned
- Oct 23, 2013
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60398520 | WA | Primary |
Addresses
Primary practice location
18237 42ND Ave S
Seatac, WA 98188-4525
Mailing address
15675 Ambaum Blvd SW
Burien, WA 98166
Phone (206) 631-3541
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD60398520 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1851729156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15675 AMBAUM BLVD SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "98166",
"telephone_number": "206-631-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18237 42ND AVE S",
"city": "SEATAC",
"state": "WA",
"postal_code": "981884525",
"telephone_number": "206-631-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKLINE",
"first_name": "MARCEE",
"name_prefix": "Dr.",
"credential": "AUD, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60398520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.