Active NPI
Diane Kay Marmes, RN
- Registered Nurse
- Sheboygan, WI
National Provider Identifier
1124351135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 107593-030
- Practice address
- W1236 County Highway FF
Sheboygan, WI 53083-5138 - Phone
- (920) 565-2607
- Fax
- (920) 565-4161
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 107593-030 | WI | Primary |
Addresses
Primary practice location
W1236 County Highway FF
Sheboygan, WI 53083-5138
Mailing address
W1236 County Highway FF
Sheboygan, WI 53083-5138
Phone (920) 565-2607
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107593-030 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willowglen Academy-Wisconsin, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Sheboygan, WI
- NPI 1891935912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1124351135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1236 COUNTY HIGHWAY FF",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530835138",
"telephone_number": "920-565-2607",
"fax_number": "920-565-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W1236 COUNTY HIGHWAY FF",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530835138",
"telephone_number": "920-565-2607",
"fax_number": "920-565-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMES",
"first_name": "DIANE",
"middle_name": "KAY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "107593-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.