Marelda M Whitmarsh, ARPN, MN, RN NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006598 Issued in WA

Practice address

5952 Blackstone Way
Nine Mile Falls, WA 99026-4900

Phone

(509) 464-3627

Fax

(509) 466-9517

NPI assigned

Aug 11, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Washington PLLCGroup PAC ID 2264320837, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marelda.whitmarsh.1@28594.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group Washington, PLLC

  dba Walla Walla Clinic (Professional)

  • Clinic/Center
  • Walla Walla, WA
  • NPI 1780658419
  Medicare reassignment Care Compare group NPD
• Deer Park Urgent Care PLLC

  dba Deer Park Urgent Care

  • Urgent Care Clinic/Center
  • Deer Park, WA
  • NPI 1093741076
  NPD
• Walla Walla Clinic, Inc.

  dba Walla Walla Clinic Milton-Freewater

  • Clinic/Center
  • Milton Freewater, OR
  • NPI 1063521862
  NPD
• Doctors Clinic of Spokane

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1497760292
  NPD (past)
• Effideen Ameerally MD PC

  dba The Medical Clinic

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1891740296
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1285645390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990060340",
            "telephone_number": "509-262-9000",
            "fax_number": "509-276-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 BLACKSTONE WAY",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990264900",
            "telephone_number": "509-464-3627",
            "fax_number": "509-466-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMARSH",
        "first_name": "MARELDA",
        "middle_name": "M",
        "credential": "ARPN, MN, RN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mabney@dpfcc.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "702 S Park St",
            "city": "Deer Park",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990067025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Koastyantin Unguryan
• Valley Drug Co (Lake Spokane Pharmacy)
• Weeping Ridge Lake Spokane
• Weeping Ridge North, LLC
• Baileigh Whipple

• Family Nurse Practitioner in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.