Marcela Serocki

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60931888 Issued in WA

Practice address

18657 Wa-305
Suite 4
Poulsbo, WA 98370

Phone

(360) 779-7800

NPI assigned

Jul 12, 2019

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1972155679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 FLORIDA DR APT D",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983159443",
            "telephone_number": "402-301-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18657 WA-305",
            "address_2": "SUITE 4",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4146 Florida Dr Apt D",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983159443",
            "country_code": "US",
            "telephone_number": "402-301-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEROCKI",
        "first_name": "MARCELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60931888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Sivlerdale",
            "affiliation": "N",
            "address_1": "18657 WA-305",
            "address_2": "Suite 4",
            "city": "Poulsbo",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Scott Secrest, M.A.
• Jennifer L Seeley, PHARM.D
• Amy Louise Seidewand, LM, CPM
• Jon Arne Selbyg, O.D.
• Shelly Self, DMD
• Donald James Setter, DO
• SFH Diagnostics LLC
• Shades of Grace Emdr, Equine, Ifs Therapy, PLLC
• Kyan Shaffner, MA
• Shalom Hospice of Puget Sound LLC

• Massage Therapist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.