Marilyn Louise Little, APRN, PP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

21382844405 Issued in UT

Practice address

198 W 7200 S
Midvale, UT 84047-3749

Phone

(801) 566-4423

NPI assigned

Nov 6, 2008

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

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Mental Health Incorporated

  • Geriatric Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1366408874
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1467606228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473749",
            "telephone_number": "801-566-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473749",
            "telephone_number": "801-566-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "MARILYN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "UT",
            "license": "21382844405",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "UT",
            "license": "2138288900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Skills Nutritional Supplements
• Life Stone Group, LLC
• Ronald Guy Lindsey, L.AC.
• Bailee Lingenfelter-Shireman
• Daycie Little
• Stacy Littlewood, MSW, LCSW
• Betty Yi Yi Liu, MD
• Layne Lloyd, MD
• LNR Enterprise, LLC
• Jandrely Lopez Morales, MD

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Midvale, UT
• Providers in Midvale, UT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.