Individual provider Active NPI

Marie Ellen Niven-Himes, BSN RN

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1487242988
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
239766 Issued in PA
Practice address
5039 Griscom St
Philadelphia, PA 19124-2623
Phone
(215) 606-8862
NPI assigned
Jan 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 239766 PA Primary

Addresses

Primary practice location

5039 Griscom St
Philadelphia, PA 19124-2623

Mailing address

5039 Griscom St
Philadelphia, PA 19124-2623
Phone (215) 606-8862

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
239766PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1487242988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 GRISCOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242623",
            "telephone_number": "215-606-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 GRISCOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242623",
            "telephone_number": "215-606-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVEN-HIMES",
        "first_name": "MARIE",
        "middle_name": "ELLEN",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "239766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.