Active NPI
Dana Michele Marsh, MSN, FNP-BC
- Family Nurse Practitioner
- Bloomington, IN
National Provider Identifier
1457910044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008967A
- Practice address
- 451 S Park Ridge Rd Ste 101
Bloomington, IN 47401-8589 - Phone
- (812) 331-8282
- NPI assigned
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71008967A | IN | Primary |
Addresses
Primary practice location
451 S Park Ridge Rd Ste 101
Bloomington, IN 47401-8589
Mailing address
3213 S Eden Dr
Bloomington, IN 47401-8742
Phone (317) 474-4475
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 - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008967A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1457910044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 S EDEN DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018742",
"telephone_number": "317-474-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 S PARK RIDGE RD STE 101",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018589",
"telephone_number": "812-331-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "DANA",
"middle_name": "MICHELE",
"name_prefix": "Miss",
"credential": "MSN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008967A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.