Kamla Marriott, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305658 Issued in NY

Practice address

11414 133Rd St
South Ozone Park, NY 11420-2112

Phone

(347) 723-3441

NPI assigned

Jul 31, 2012

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 23, 2024 through Jul 23, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: kamla.marriott.1@24265.direct.athenahealth.com

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1538415237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 133RD ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202112",
            "telephone_number": "347-723-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 133RD ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202112",
            "telephone_number": "347-723-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "KAMLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&M Care Agency
• Claudine Malcolm, RN
• Sharon Mallin
• Dana Marie Marino, M.A., CCC-SLP, TSSLD
• Elana S Markovitz, OTR/L
• Celena A Marte
• Albanerys Martinez, MHC
• Amy Mascia, LCSW
• Natalie Mashall, PHARMD
• Robert T Mason, PHARMD, M.S.

• Adult Health Nurse Practitioner in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.