Individual provider Active NPI

Marilyn Eubank Tompkins, DRPH, MSN

  • Family Nurse Practitioner
  • Woodinville, WA
National Provider Identifier
1144258906
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006900 Issued in WA
Practice address
12405 NE 155TH PL
Woodinville, WA 98072-7932
Phone
(713) 628-5996
Fax
(425) 402-6086
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN00157499 WA
Family Nurse Practitioner 363LF0000X AP30006900 WA Primary

Addresses

Primary practice location

12405 NE 155TH PL
Woodinville, WA 98072-7932

Mailing address

12405 NE 155TH PL
Woodinville, WA 98072-7932
Phone (713) 628-5996

Other names 1

  • Marilyn Payne Former name

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
Master of Science - Nursing, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1144258906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 NE 155TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727932",
            "telephone_number": "713-628-5996",
            "fax_number": "425-402-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 NE 155TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727932",
            "telephone_number": "713-628-5996",
            "fax_number": "425-402-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "MARILYN",
        "middle_name": "EUBANK",
        "credential": "DRPH, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "RN00157499",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "PAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.