Alexa Ross Marino, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95006469 Issued in CA

Practice address

1701 Church St
San Francisco, CA 94131-2412

Phone

(415) 826-1701

Fax

(415) 826-1704

NPI assigned

Oct 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: alexa.knorr@13147374288900.direct.elationemr.com

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1356692206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 42ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221209",
            "telephone_number": "773-835-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312412",
            "telephone_number": "415-826-1701",
            "fax_number": "415-826-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "ALEXA",
        "middle_name": "ROSS",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95122397",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Sade' Marina, B.A.
• Nikita Marina, MA
• Emily Jane Marinelli, LMFT
• Mariner House, Inc.
• Karina Marini-Lieben
• Breana Marino
• Ellen L. Marino, LMFT
• Vincent C. Marino, D.P.M.
• Amanda Marinoff, M.D.
• Janine Marie Marinos, PH.D.

• Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.