Individual provider Active NPI

Sylvia Marinus

  • Case Management Registered Nurse
  • Fayetteville, AR
National Provider Identifier
1023547411
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
R55326 Issued in AR
Practice address
3715 Business Drive
Suite 202
Fayetteville, AR 72703-5204
Phone
(866) 717-4622
Fax
(479) 582-0778
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R55326 AR Primary

Addresses

Primary practice location

3715 Business Drive
Suite 202
Fayetteville, AR 72703-5204

Mailing address

3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288
Phone (866) 717-4622

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

State licenses

LicenseStateTypeSpecialty
R55326ARMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trestletree, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023547411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR STE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035288",
            "telephone_number": "866-717-4622",
            "fax_number": "479-582-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BUSINESS DRIVE",
            "address_2": "SUITE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035204",
            "telephone_number": "866-717-4622",
            "fax_number": "479-582-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINUS",
        "first_name": "SYLVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AR",
            "license": "R55326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.