Individual provider Active NPI

Marni Green, DNP

  • Adult Health Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1083082127
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP8061 Issued in AZ
Practice address
27625 N 44TH St
Cave Creek, AZ 85331-6623
Phone
(623) 203-2965
NPI assigned
Sep 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8061 AZ
Adult Health Nurse Practitioner 363LA2200X AP8061 AZ Primary

Addresses

Primary practice location

27625 N 44TH St
Cave Creek, AZ 85331-6623

Mailing address

27625 N 44TH St
Cave Creek, AZ 85331-6623
Phone (623) 203-2965

Other names 1

  • Dr. Marni Green Bailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218000601 AZ Practitioner - Nurse Practitioner 5496050148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 19, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 19, 2016 Accepting new patients

Locations

20040 N 19th Ave
Ste A
Phoenix, AZ 85027
Phone (623) 869-5000

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

Organizations & group practices 2

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": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1083082127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 N 44TH ST",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316623",
            "telephone_number": "623-203-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 N 44TH ST",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316623",
            "telephone_number": "623-203-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARNI",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8061",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNI",
            "last_name": "BAILEY",
            "middle_name": "GREEN",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.