Active NPI
Nicole Lynn Marnell, DNP, PNP
- Pediatric Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1316501802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 144364
- Practice address
- 4600 Abbott Rd
Anchorage, AK 99507-4314 - Phone
- (907) 348-2101
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 144364 | AK | Primary |
Addresses
Primary practice location
4600 Abbott Rd
Anchorage, AK 99507-4314
Mailing address
4600 Abbott Rd
Anchorage, AK 99507-4314
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nmarnell@akchild.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 144364 | AK | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1316501802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 ABBOTT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 ABBOTT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074314",
"telephone_number": "907-348-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARNELL",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "DNP, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AK",
"license": "144364",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmarnell@akchild.org",
"affiliation": "N",
"endpointDescription": "Practice email address",
"address_1": "4600 Abbott Rd",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995074314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.