Active NPI
Michelle L. Marineau, ARNP
- Family Nurse Practitioner
- Seattle, WA
National Provider Identifier
1508959149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60817171
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195 - Phone
- (206) 520-5000
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60817171 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60817171 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000246397 | Other | HI | HMSA BILLING NUMBER |
| 55289501 | Medicaid | HI | |
| 1508959149 | Medicaid | WA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60817171 | WA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1508959149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "3288 Moanalua Rd",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968191469",
"country_code": "US",
"telephone_number": "808-432-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINEAU",
"first_name": "MICHELLE",
"middle_name": "L.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60817171",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60817171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000246397",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55289501",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508959149",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.