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NATHAN DANIEL LICKTEIG DO
NPI 1649912452
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 12, 2022PECOS Enrolled
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 543-1140 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan Daniel Lickteig Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN DANIEL LICKTEIG DO (NPI 1649912452) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1649912452
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN DANIEL LICKTEIGCredential: DO
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressMsc08 4640 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4814 · Fax (505) 272-0240
Phone(206) 543-1140
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1649912452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License DO.OP.70077130 (WA)
1959 NE PACIFIC ST, Seattle, WA 98195
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Secondary Practice Location 1

Location 1Msc08 4640 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4814 · Fax (505) 272-0240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Daniel Lickteig Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONIE A NEVILLE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-4874
ALISA BETH KACHIKIS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
King County (206) 598-4070
MS. MARY PATRICIA DODGE MS, OTR/L
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
King County (206) 598-4830
RIKA SHIRAKAWA M.D.
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
King County (206) 558-9616
VEDA TSOI M.D.
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (801) 556-7628
KATHRYN TAMURA PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
King County (206) 598-6060
DR. MARK ROBERT, MICHAEL KILGORE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
King County (206) 598-1821
DR. SERKAN MEHMET SAHIN M.D.
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 543-6420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Lickteig's NPI number?

The NPI number for Nathan Lickteig is 1649912452. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Nathan Lickteig located?

Nathan Lickteig practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 543-1140.

What is Nathan Lickteig's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Lickteig enrolled in Medicare?

Yes. Nathan Lickteig is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Lickteig was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.