Marion C Bodle, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

60138424 Issued in WA

Practice address

9930 Evergreen Way
Everett, WA 98204-3883

Phone

(425) 347-5121

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Stillaguamish Tribal Health Clinic

  • General Practice Physician
  • Arlington, WA
  • NPI 1164451142
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1487298790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 EVERGREEN WAY STE Z150",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043889",
            "telephone_number": "425-347-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043883",
            "telephone_number": "425-347-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODLE",
        "first_name": "MARION",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60138424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody M Bockrath, MD
• Ilham Iqbal Boda, MD
• Chelsea Bodding, PTA
• Sharon Yvonne Bode, BSN, RN
• Marko Bodi, BA
• Milanya Bodrick
• Mark W Boede, PT
• Daryl I Boekenoogen, DDS MS PS
• Gina Lora Boggeri, D.D.S.
• Jeffrey W Boggs, DPM

• Addiction (Substance Use Disorder) Registered Nurse in Everett, WA
• Providers in Everett, WA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.