Individual provider Active NPI

Marina Vicini Pokriefka, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Davisburg, MI
National Provider Identifier
1225046394
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
4704115134 Issued in MI
Practice address
12850 Fountain SQ
Ste. 106
Davisburg, MI 48350-2552
Phone
(248) 634-6303
Fax
(248) 634-1746
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 4704115134 MI
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704115134 MI Primary

Addresses

Primary practice location

12850 Fountain SQ
Ste. 106
Davisburg, MI 48350-2552

Mailing address

12850 Fountain SQ
Ste. 106
Davisburg, MI 48350-2552
Phone (248) 634-6303

Other names 1

  • Miss Marina Vicini 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
Certified Nurse Specialist, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225046394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 FOUNTAIN SQ",
            "address_2": "STE. 106",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502552",
            "telephone_number": "248-634-6303",
            "fax_number": "248-634-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 FOUNTAIN SQ",
            "address_2": "STE. 106",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502552",
            "telephone_number": "248-634-6303",
            "fax_number": "248-634-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKRIEFKA",
        "first_name": "MARINA",
        "middle_name": "VICINI",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MI",
            "license": "4704115134",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704115134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "VICINI",
            "prefix": "MISS",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davisburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.