Alicia Rodriguez Marroquin, R.N., MA, CNS, PHD

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

200943348RN Issued in OR

Practice address

1216 Winsor Ave
North Bend, OR 97459-3643

Phone

(360) 473-7777

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Arts, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

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.

• Enact Learning Technologies, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1134535131
  NPD (past)
• Partners Health Network, Inc.

  • Professional Counselor
  • Wilmington, NC
  • NPI 1467784306
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124223656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 WINSOR AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593643",
            "telephone_number": "360-473-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 WINSOR AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593643",
            "telephone_number": "360-473-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "ALICIA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "R.N., MA, CNS, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "167681",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN00069310",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200943348RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria G. Maldonado, F.N.P.
• Susan Mallon, QMHA, BA
• Coletta Jean Manske
• Kelly Andrea Manz
• Marka Turner, LCSW, LCC
• Regina D Martin
• Zachary Martin
• Tera Lei Martinez
• Michael Anthony Ryan Martins, DDS
• David Mayfield

• Psychiatric/Mental Health Registered Nurse in North Bend, OR
• Providers in North Bend, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.