Active NPI
Marguerite A Macek, ARNP
- Nurse Practitioner
- Davenport, IA
National Provider Identifier
1427043363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- C046249
- Practice address
- 1401 W Central Park
Davenport, IA 52806 - Phone
- (563) 421-2141
- Fax
- (563) 421-1775
- NPI assigned
- Sep 16, 2005
- Last updated
- Dec 12, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C046249 | IA | Primary |
Addresses
Primary practice location
1401 W Central Park
Davenport, IA 52806
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59155 | Other | IA | WELLMARK BCBS |
| 0444141 | Medicaid | IA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C046249 | IA | MD | Nurse Practitioner |
Interoperability endpoints
- mmacek12087@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1427043363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-1474",
"fax_number": "319-356-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W CENTRAL PARK",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52806",
"telephone_number": "563-421-2141",
"fax_number": "563-421-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEK",
"first_name": "MARGUERITE",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "C046249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "59155",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0444141",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
- Luxottica Retail North America Inc (Lenscrafters #00260)
- Lauren Elizabeth Lybbert, DC
- Alexandria Nicole Lyon, PA
- Thomas E Lyons, MD
- Brooke Nicole Macdougall, FNP
- Joseph S Maciejko, PH.D.
- Madison County Medical Equipment, Inc. (AeroCare)
- Akshay Kantilal Mahadevia, MD
- Geeta Mahadevia, M.D.
- Emily Cathryn Maiers, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.