Individual provider Active NPI

Marlys Julia Winge, NP

  • Family Nurse Practitioner
  • Christiansted, VI
National Provider Identifier
1285765651
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10579 P Issued in VI
Practice address
4043 Estate la Grande Princesse
Christiansted, VI 00820-0000
Phone
(340) 718-1092
Fax
(340) 718-1090
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10579 P VI Primary

Addresses

Primary practice location

4043 Estate la Grande Princesse
Christiansted, VI 00820-0000

Mailing address

417 Hannahs RST
Frederiksted, VI 00840-3668
Phone (340) 244-5869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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

Enrollment IDStateProvider typePAC IDDetails
I20111229000244 VI Practitioner - Nurse Practitioner 9830365675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10579 PVIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mjulia.winge.p1@direct.frederikstedhealthvi.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1285765651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HANNAHS RST",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "008403668",
            "telephone_number": "340-244-5869",
            "fax_number": "340-718-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 ESTATE LA GRANDE PRINCESSE",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008200000",
            "telephone_number": "340-718-1092",
            "fax_number": "340-718-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGE",
        "first_name": "MARLYS",
        "middle_name": "JULIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VI",
            "license": "10579 P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.