Active NPI
Marcene Mork, RN
- Registered Nurse
- Kealakekua, HI
National Provider Identifier
1003250986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 22613
- Practice address
- 81-6187 Mamalahoa Hwy
BLDG C
Kealakekua, HI 96750 - Phone
- (808) 323-2664
- Fax
- (808) 323-2999
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 22613 | HI | Primary |
Addresses
Primary practice location
81-6187 Mamalahoa Hwy
BLDG C
Kealakekua, HI 96750
Mailing address
91-1841 Fort Weaver Rd
Ewa Beach, HI 96706-1909
Phone (808) 681-3500
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 22613 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1003250986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1841 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061909",
"telephone_number": "808-681-3500",
"fax_number": "808-681-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81-6187 MAMALAHOA HWY",
"address_2": "BLDG C",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "96750",
"telephone_number": "808-323-2664",
"fax_number": "808-323-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORK",
"first_name": "MARCENE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-23",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN 22613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.