Individual provider Active NPI

Makayla Rue Mariner

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1295625374
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
294114 Issued in AZ
Practice address
3121 E Lincoln Dr
Phoenix, AZ 85016-2317
Phone
(918) 350-0148
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 294114 AZ
Women's Health Nurse Practitioner 363LW0102X 294114 AZ Primary

Addresses

Primary practice location

3121 E Lincoln Dr
Phoenix, AZ 85016-2317

Mailing address

835 W Rio Salado Pkwy Unit 3053
Tempe, AZ 85281-3880
Phone (918) 350-0148

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
294114AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1295625374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 W RIO SALADO PKWY UNIT 3053",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813880",
            "telephone_number": "918-350-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E LINCOLN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162317",
            "telephone_number": "918-350-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINER",
        "first_name": "MAKAYLA",
        "middle_name": "RUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "294114",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "294114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.