Nicole Marie Marginean, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

225908-30 Issued in WI

Practice address

481 School Rd
Portage, WI 53901-1381

Phone

(608) 393-1614

NPI assigned

Jul 26, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1508112699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SCHOOL RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011381",
            "telephone_number": "608-393-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SCHOOL RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011381",
            "telephone_number": "608-393-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGINEAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "312286-31",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "225908-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen L Ludwikowski
• Emily Lugo, PT, DPT
• Crystal Lee Lumby, LPC, NCC
• Kashea Lyfoung, PHARM.D.
• Craig N Magnes, MD
• Mary Ellen Miller, Ms, LPC, LLC
• John Clifton Mattern, PHARM.D.
• Amy Lynn Mattson, R.N.
• Jacob May
• Amanda McConville

• Registered Nurse in Portage, WI
• Providers in Portage, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.