Individual provider Active NPI

Marcella Darice Spinnato, R.N.

  • Registered Nurse
  • Gulfport, MS
National Provider Identifier
1093066789
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R664073 Issued in MS
Practice address
1800 Beach Dr
Gulfport, MS 39507-1553
Phone
(228) 897-4450
NPI assigned
Sep 21, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R664073 MS Primary

Addresses

Primary practice location

1800 Beach Dr
Gulfport, MS 39507-1553

Mailing address

12115 Five Oaks Dr
Gulfport, MS 39503-4817
Phone (228) 206-0518

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

LicenseStateTypeSpecialty
R664073MSMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1093066789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 FIVE OAKS DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034817",
            "telephone_number": "228-206-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BEACH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071553",
            "telephone_number": "228-897-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNATO",
        "first_name": "MARCELLA",
        "middle_name": "DARICE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R664073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.