Individual provider Active NPI

Marcia Bynoe

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1255420931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 1161092 Issued in FL
Practice address
333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Phone
(612) 659-7101
Fax
(612) 767-1947
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 1161092 FL Primary

Addresses

Primary practice location

333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377

Mailing address

333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Phone (612) 659-7101

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

State licenses

LicenseStateTypeSpecialty
ARNP 1161092FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255420931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "SUITE 5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7101",
            "fax_number": "612-767-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "SUITE 5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7101",
            "fax_number": "612-767-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNOE",
        "first_name": "MARCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1161092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.