Marla Mae Hartmann

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

28799 Koronis Dr
Paynesville, MN 56362-9331

Phone

(320) 293-6705

Fax

(320) 243-4777

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1114500170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28799 KORONIS DR",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563629331",
            "telephone_number": "320-293-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28799 KORONIS DR",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563629331",
            "telephone_number": "320-293-6705",
            "fax_number": "320-243-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "MARLA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "245D",
            "identifier": "1106879",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ella Veronica Johnson, OTD, OTR/L
• Terry Scott Johnson, RPH
• Michael Kihiu, CNP

• Foster Care Agency in Paynesville, MN
• Providers in Paynesville, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.