Donna L Mariano, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

002774 Issued in CT

Practice address

67 Masonic Ave
Suite 3100
Wallingford, CT 06492-3095

Phone

(203) 284-3144

Fax

(203) 284-3150

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Hartford Healthcare Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1720140221
  NPD (past)
• Midstate Medical Group, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Meriden, CT
  • NPI 1356361315
  NPD (past)
• Midstate Medical Group, PC

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1427089598

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1194749283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "SUITE 3100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-626-6511",
            "fax_number": "203-284-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "SUITE 3100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-284-3144",
            "fax_number": "203-284-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002774",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "002774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004231023",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Mansfield, ATC, LAT, EMT-B
• Mansoor Anwer MD LLC
• Justin Marceau, PT
• Ronald Nathaniel Marcus, MD
• Lakesha R Margaglione, MASTERS
• Marino Ocular Prosthetics LLC
• John Marino, MD
• Louis John Marino, OCULARIST OCULAR PRO
• Patricia Marr
• Kurt James Marschner, D.C.

• Primary Care Nurse Practitioner in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Primary Care Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.