Laura Maranville

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209017299 Issued in IL

Practice address

433 N Johnson St
Macomb, IL 61455-1420

Phone

(309) 732-6363

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Carthage, IL
  • NPI 1205887742
  NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Hamilton, IL
  • NPI 1679327779
  NPD
• Memorial Hospital Association

  • Critical Access Hospital
  • Carthage, IL
  • NPI 1730139031
  NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1295224517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N JOHNSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N JOHNSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551420",
            "telephone_number": "309-732-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANVILLE",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb Post Acute Care Center LLC
• Macomb Senior Living Center
• Macomb Senior Living, LLC
• Tanner Maksymicz
• Joy L Manuel, R.N.
• Kathleen E Markey, R.N.
• Kassandra Mason, PHARMD.
• Max R Rexroat, DPM, LTD
• Kelly Jay McBride, ATC/L
• Matthew Scott McClure, D.M.D., P.C.

• Nurse Practitioner in Macomb, IL
• Providers in Macomb, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.