Active NPI
Suzanne Lynn Marcon-Fuller
- Adult Companion
- Marshfield, WI
National Provider Identifier
1326690454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 204 E Blodgett St
Marshfield, WI 54449-2205 - Phone
- (715) 207-0241
- NPI assigned
- Jul 9, 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
204 E Blodgett St
Marshfield, WI 54449-2205
Mailing address
104A S Vine Ave
Marshfield, WI 54449-3745
Phone (715) 651-1446
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | marconbehavioralsolutions@gmail.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1326690454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104A S VINE AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544493745",
"telephone_number": "715-651-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E BLODGETT ST",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544492205",
"telephone_number": "715-207-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCON-FULLER",
"first_name": "SUZANNE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "marconbehavioralsolutions@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "204 E Blodgett St",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544492205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.