NPIMap

Individual provider Active NPI

Laure Marino, CFNP

  • Family Nurse Practitioner
  • Scott Depot, WV
National Provider Identifier
1568435972
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
51372 Issued in WV
Practice address
301-6 Great Teays Blvd
Scott Depot, WV 25560
Phone
(304) 757-6999
Fax
(304) 757-3252
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 51372 WV Primary

Addresses

Primary practice location

301-6 Great Teays Blvd
Scott Depot, WV 25560

Mailing address

301-6 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-6999

Other identifiers 3

IdentifierTypeStateIssuer
001719728OtherWVMS BCBS
7538749OtherWVAETNA
9600195001MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000385 WV Practitioner - Nurse Practitioner 3971592007 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Primary Care LLC Family CurrentSince Apr 1, 2025 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Nov 2, 2020 Accepting new patients
Independent Healthcare Providers Corp CurrentSince Dec 1, 2022 Accepting new patients
Healthpath Medical & Psychiatric Care LLC CurrentSince Jul 25, 2024 Accepting new patients
Safe & Sound Anesthesia Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Healthpath Medical & Psychiatric Care LLC CurrentSince Jul 25, 2024 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Nov 2, 2020 Accepting new patients
West Virginia Gynecologic Oncology Assoc LLC PastSince Jan 30, 2001 Accepting new patients
Trinity Family Health Care, LLC Family Past Accepting new patients
Med Surg Physician Group, Inc. PastSince Oct 15, 2023 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535

110 Association Dr
Charleston, WV 25311
Phone (304) 208-0707

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

1200 Harrison Ave
Ste 1500
Elkins, WV 26241
Phone (304) 591-9590

712 N Main St
Moorefield, WV 26836
Phone (304) 359-2245

1 S Marsham St
Romney, WV 26757
Phone (304) 359-2245

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10160/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laure.marino.1@30179.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1568435972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301-6 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301-6 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "LAURE",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "51372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001719728",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7538749",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9600195001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.