Marine Information Resources Corporation

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MARINE INFORMATION RESOURCES CORPORATION

Practice address

12337 Pans Spring CT
Ellicott City, MD 21042-1338

Phone

(443) 286-8397

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia D Nichols, M.S., CCC-SLPNPI 1740416148

Title

Treasurer

Phone

(443) 286-8397

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia D Nichols, MS, CCC-SLP

  • Speech-Language Pathologist
  • Ellicott City, MD
  • NPI 1740416148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1578034906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12337 PANS SPRING CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421338",
            "telephone_number": "144-328-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 PANS SPRING CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421338",
            "telephone_number": "443-286-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE INFORMATION RESOURCES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "443-286-8397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Manner, MA, CAS, NCSP
• Julia Brooke Manning
• Jayden Isiah Marcus
• Michael Mardiney III, M.D.
• Laura J Margolis, PH.D.
• Stephanie Babb Marinelli, PHD, JD
• Daniel Paul Markmann, M.D.
• Jeffrey Allen Markow, LGPC
• Dylan Marks, DPT
• Priyanka Marple, LGPC

• Speech-Language Pathologist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.