NPIMap

Organization Active NPI

Christy Marvin

  • Custodial Care Facility
  • Weiser, ID
National Provider Identifier
1386845287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
ID OOO16921203 Issued in ID
Legal business name
CHRISTY MARVIN
Practice address
1111 E Main St
Weiser, ID 83672-2437
Phone
(208) 549-2076
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christy Earlean Marvin, CNANPI 1457508418
Title
Home Health Aid
Phone
(208) 550-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X ID OOO16921203 ID Primary

Addresses

Primary practice location

1111 E Main St
Weiser, ID 83672-2437

Mailing address

1111 E Main St
Weiser, ID 83672-2437
Phone (208) 549-2076

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386845287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E MAIN ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722437",
            "telephone_number": "208-549-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MAIN ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722437",
            "telephone_number": "208-549-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY MARVIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "EARLEAN",
        "authorized_official_title_or_position": "HOME HEALTH AID",
        "authorized_official_telephone_number": "208-550-2638",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "ID",
            "license": "ID OOO16921203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weiser, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.