Steven Angelos Marinos, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

131664 Issued in NC

Practice address

107 Regulator Dr
Clayton, NC 27520-8719

Phone

(919) 437-7077

NPI assigned

Dec 6, 2016

Last updated

Dec 6, 2016By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1073057329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 REGULATOR DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208719",
            "telephone_number": "919-437-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 REGULATOR DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208719",
            "telephone_number": "919-437-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINOS",
        "first_name": "STEVEN",
        "middle_name": "ANGELOS",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "131664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elaine Mallard, SLP
• Moira Grace Malley Johnson, DPT
• Loretta M Maloy, LMBT
• Michelle Rose Mangus
• Fernanda Raquel Marchan Hernandez, SA-C
• Jason Michael Marrazzo, D.D.S.
• Mary's Place Care Services LLC (Nurse Next Door)
• Jessica Maschoff, CNS, LN
• Jessica Masciarelli, M.S., CCC-SLP
• Bindu Mason, NP

• Gerontology Nurse Practitioner in Clayton, NC
• Providers in Clayton, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.