Willa Alise Marinov, RN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN60329573 Issued in WA

Practice address

9040 Jackson Avenue Department of Family Medicine
Tacoma, WA 98431-0001

Phone

(253) 968-4644

NPI assigned

Aug 19, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503100800000",
    "number": "1023534286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12614 REBECCA DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVENUE DEPARTMENT OF FAMILY MEDICINE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINOV",
        "first_name": "WILLA",
        "middle_name": "ALISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-19",
        "last_updated": "2017-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "RN60329573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Rex Marin, CPO
• Tonia L Marine, FNP
• Steven Peter Marinkovich, DDS
• David Marino, M.D.
• Rick J. Marino, M.D.
• Maritime Physical Therapy
• Mark a. Sundberg, DDS, PLLC
• Mark D. Johnson D.D.S., P.S.
• Mark L Webb DC
• Marked Tree Dialysis

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2017; 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.