Active NPI
Marilyn Mazzie Rose, FNP
- Family Nurse Practitioner
- Marysville, CA
National Provider Identifier
1518738871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95026964
- Practice address
- 1908 N Beale Rd
Marysville, CA 95901-6937 - Phone
- (530) 743-6888
- NPI assigned
- Jan 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95026964 | CA | Primary |
Addresses
Primary practice location
1908 N Beale Rd
Marysville, CA 95901-6937
Mailing address
202 Prospect St
Nevada City, CA 95959-2834
Phone (415) 713-3619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
202 Prospect St
Nevada City, CA 95959-2834
5200 Pirrone CT
Salida, CA 95368-9094
PO Box
Suite 3091
Modesto, CA 95353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95026964 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Medical Clinic and Family Resource Center | Past | Accepting new patients | |
| Baby Buddies Birth Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8237/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Birthing Clinic/Center
- Marysville, CA
- NPI 1700220407
-
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1124130620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1518738871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 PROSPECT ST",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592834",
"telephone_number": "415-713-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 N BEALE RD",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959016937",
"telephone_number": "530-743-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MARILYN",
"middle_name": "MAZZIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95026964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.