Individual provider Active NPI

Marilyn Bokemeier, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Fresno, CA
National Provider Identifier
1003969700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
391947 Issued in CA
Practice address
2025 E Dakota Ave
Room 230
Fresno, CA 93726-4804
Phone
(559) 453-5755
Fax
(559) 453-4736
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 391947 CA Primary

Addresses

Primary practice location

2025 E Dakota Ave
Room 230
Fresno, CA 93726-4804

Mailing address

2025 E Dakota Ave RM 230
Fresno, CA 93726-4804
Phone (559) 453-5755

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

LicenseStateTypeSpecialty
391947CAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003969700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E DAKOTA AVE RM 230",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264804",
            "telephone_number": "559-453-5755",
            "fax_number": "559-453-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E DAKOTA AVE",
            "address_2": "ROOM 230",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264804",
            "telephone_number": "559-453-5755",
            "fax_number": "559-453-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKEMEIER",
        "first_name": "MARILYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "391947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.