Individual provider Active NPI

Marina Kobryn, RN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Granada Hills, CA
National Provider Identifier
1548720634
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
10627 Issued in CA
Practice address
16857 San Fernando Mission Blvd Unit 56
Granada Hills, CA 91344-4253
Phone
(818) 625-3264
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 476190 CA
Women's Health Nurse Practitioner 363LW0102X 10627 CA Primary

Addresses

Primary practice location

16857 San Fernando Mission Blvd Unit 56
Granada Hills, CA 91344-4253

Mailing address

16857 San Fernando Mission Blvd Unit 56
Granada Hills, CA 91344-4253
Phone (818) 625-3264

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
476190CAMDMedical-Surgical Registered Nurse
10627CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1548720634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16857 SAN FERNANDO MISSION BLVD UNIT 56",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444253",
            "telephone_number": "818-625-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16857 SAN FERNANDO MISSION BLVD UNIT 56",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444253",
            "telephone_number": "818-625-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBRYN",
        "first_name": "MARINA",
        "credential": "RN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "476190",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "10627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.