Individual provider Active NPI

Marilyn Jean Higgins

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1285873109
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
301803 Issued in NY
Practice address
Dept. of Neurological Surgery
T12 080 Health Sciences Center
Stonybrook, NY 11794-8122
Phone
(631) 444-1213
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 301803 NY Primary
Pediatric Nurse Practitioner 363LP0200X F381743-1 NY

Addresses

Primary practice location

Dept. of Neurological Surgery
T12 080 Health Sciences Center
Stonybrook, NY 11794-8122

Mailing address

Dept. of Neurological Surgery
T12 080 Health Sciences Center
Stonybrook, NY 11794-8122

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F381743-1NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1285873109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. OF NEUROLOGICAL SURGERY",
            "address_2": "T12 080 HEALTH SCIENCES CENTER",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "117948122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT. OF NEUROLOGICAL SURGERY",
            "address_2": "T12 080 HEALTH SCIENCES CENTER",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "117948122",
            "telephone_number": "631-444-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "MARILYN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301803",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381743-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.