Individual provider Active NPI

Shirley Marc

  • Registered Nurse
  • Ellicott City, MD
National Provider Identifier
1316850738
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R182434 Issued in MD
Practice address
2942 Rosemar Dr
Ellicott City, MD 21043-3333
Phone
(571) 426-1075
NPI assigned
Sep 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R182434 MD Primary

Addresses

Primary practice location

2942 Rosemar Dr
Ellicott City, MD 21043-3333

Mailing address

6400 Orly LN Laurel, MD 20707
Laurel, MD 20707
Phone (443) 722-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1316850738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 ORLY LN LAUREL, MD 20707",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "443-722-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 ROSEMAR DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433333",
            "telephone_number": "571-426-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARC",
        "first_name": "SHIRLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R182434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.