Marietta Gingosa, BSN RN MSN

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALM-011151 Issued in AZ

Practice address

15956 W Cortez St
Surprise, AZ 85379-1162

Phone

(623) 440-6659

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1174248363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15956 W CORTEZ ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853791162",
            "telephone_number": "623-440-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15956 W CORTEZ ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853791162",
            "telephone_number": "623-440-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGOSA",
        "first_name": "MARIETTA",
        "credential": "BSN RN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALM-011151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Gilbert, D.P.T.
• Alissa Gilcreest, NMD
• Dapinderjit Singh Gill, M.D.
• Joseph Robert Gill
• Jared Mason Gillingham
• Brandi Michelle Givens, RD
• Summer Glenn, LPN
• Machelle Gliori
• Global Healthcare Services LLC
• Tiffany Nicole Godwin, PHD

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.