Individual provider Active NPI

Luiza Gabriela Marinescu, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1104272871
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201602941NP-PP Issued in OR
Practice address
3509 NW Samaritan Dr
Suite 215
Corvallis, OR 97330-3893
Phone
(541) 768-5201
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201602941NP-PP OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60651960 WA

Addresses

Primary practice location

3509 NW Samaritan Dr
Suite 215
Corvallis, OR 97330-3893

Mailing address

4321 Issaquah Pine Lake Rd SE Unit 412
Sammamish, WA 98075-5265
Phone (425) 829-9349

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201602941NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
AP60651960WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1104272871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 ISSAQUAH PINE LAKE RD SE UNIT 412",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980755265",
            "telephone_number": "425-829-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 NW SAMARITAN DR",
            "address_2": "SUITE 215",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303893",
            "telephone_number": "541-768-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINESCU",
        "first_name": "LUIZA",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201602941NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60651960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.