Active NPI
Natalie Mark, RN
- School Registered Nurse
- Holland, NY
National Provider Identifier
1023683059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 689682-1
- Practice address
- 173 Canada St
Holland, NY 14080 - Phone
- (716) 537-8264
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 689682-1 | NY | MD | School Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 689682-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
173 Canada St
Holland, NY 14080
Mailing address
12 Northridge Dr
Arcade, NY 14009-1028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2021.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1023683059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 NORTHRIDGE DR",
"city": "ARCADE",
"state": "NY",
"postal_code": "140091028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 CANADA ST",
"city": "HOLLAND",
"state": "NY",
"postal_code": "14080",
"telephone_number": "716-537-8264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "NATALIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "689682-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.