Individual provider Active NPI

Marian Wilson Rowland, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1073627485
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14993 Issued in TN
Practice address
940 S Ocoee St
Cleveland, TN 37311-2601
Phone
(423) 479-5454
Fax
(423) 339-3421
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 128026 TN
Psychiatric/Mental Health Registered Nurse 163WP0808X 128935 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14993 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G128935 IA

Addresses

Primary practice location

940 S Ocoee St
Cleveland, TN 37311-2601

Mailing address

940 S Ocoee St
Cleveland, TN 37311-2601
Phone (423) 479-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
128935IAMDPsychiatric/Mental Health Registered Nurse
128026TNMDPsychiatric/Mental Health Registered Nurse
G128935IAMDPsychiatric/Mental Health Nurse Practitioner
14993TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1073627485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373112601",
            "telephone_number": "423-479-5454",
            "fax_number": "423-339-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373112601",
            "telephone_number": "423-479-5454",
            "fax_number": "423-339-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "MARIAN",
        "middle_name": "WILSON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "128026",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "128935",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "14993",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G128935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.