Marilyn McNulty, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024171047 Issued in VA

Practice address

5875 Bremo Rd
Suite G-5
Richmond, VA 23226-1934

Phone

(804) 287-7840

Fax

(804) 287-7845

NPI assigned

Aug 7, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Infectious Disease Physician
  • Richmond, VA
  • NPI 1063772143
  NPD (past)
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Richmond, VA
  • NPI 1427361922
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1326470832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE G-5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-287-7840",
            "fax_number": "804-287-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE G-5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-287-7840",
            "fax_number": "804-287-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "MARILYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024171047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Shantel McNeil-Oliver, RN
• Christopher Maurice McNeil I, MS
• Triana McNeil
• Tracy Stroma McNeish, MD
• Justin David McNew
• Andrew McNutt, LAT ATC
• Daniel McPartlin, PA-C
• Richard A McPherson, M.D.
• Stephanie McQuade
• Margaret McQuail, LCSW

• Acute Care Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.