Active NPI
Marilyn P Dean, ARNP
- Family Nurse Practitioner
- Maquoketa, IA
National Provider Identifier
1235128596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A044192
- Practice address
- 206 N Arcade St
Maquoketa, IA 52060-2022 - Phone
- (563) 652-6711
- Fax
- (563) 652-6715
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A044192 | IA | Primary |
Addresses
Primary practice location
206 N Arcade St
Maquoketa, IA 52060-2022
Mailing address
206 N Arcade St
Maquoketa, IA 52060-2022
Phone (563) 652-6711
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A044192 | IA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1235128596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N ARCADE ST",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602022",
"telephone_number": "563-652-6711",
"fax_number": "563-652-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N ARCADE ST",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602022",
"telephone_number": "563-652-6711",
"fax_number": "563-652-6715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "MARILYN",
"middle_name": "P",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A044192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maquoketa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.