Individual provider Active NPI

Marnie Lynn Vanden Noven, MS PT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1417225103
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9138 Issued in TN
Practice address
4206 Stammer PL
Nashville, TN 37215-3302
Phone
(615) 298-4555
Fax
(615) 298-4555
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9138 TN Primary

Addresses

Primary practice location

4206 Stammer PL
Nashville, TN 37215-3302

Mailing address

10 New King St
Suite 105
White Plains, NY 10604-1205
Phone (914) 390-9880

Other names 1

  • Marnie Lynn Brown Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9138TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1417225103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEW KING ST",
            "address_2": "SUITE 105",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106041205",
            "telephone_number": "914-390-9880",
            "fax_number": "914-390-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 STAMMER PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153302",
            "telephone_number": "615-298-4555",
            "fax_number": "615-298-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN NOVEN",
        "first_name": "MARNIE",
        "middle_name": "LYNN",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNIE",
            "last_name": "BROWN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.