Individual provider Active NPI

Tina M Marino, NP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1578967162
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP7371 Issued in AZ
Practice address
9100 N 2ND St Ste 321
Phoenix, AZ 85020-2459
Phone
(602) 867-8644
Fax
(602) 606-5128
NPI assigned
Oct 10, 2014
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X TAP7371 AZ
Acute Care Nurse Practitioner 363LA2100X AP7371 AZ Primary

Addresses

Primary practice location

9100 N 2ND St Ste 321
Phoenix, AZ 85020-2459

Mailing address

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 867-8644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106000049 AZ Practitioner - Nurse Practitioner 4789907494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kumar Ravi MD Facc PCGroup PAC ID 1355387663, 6 clinicians

Practice addresses (Care Compare)

14418 W Meeker Blvd
Sun City, AZ 85375-5283
Phone (623) 974-3649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP7371AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants LTD CurrentSince May 1, 2023 Accepting new patients
Cardiovascular Consultants LTD CurrentSince May 1, 2023 Accepting new patients
Kumar Ravi MD Facc PC CurrentSince Jun 18, 2024 Accepting new patients
Kumar Ravi MD Facc PC CurrentSince Jun 18, 2024 Accepting new patients

Locations

20199 N 67th Ave
Glendale, AZ 85308
Phone (480) 444-7491

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656

9100 N 2nd St
Ste 321
Phoenix, AZ 85020

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

10503 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 832-5349

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351
Phone (623) 547-7654

10503 W Thunderbird Blvd
Ste 110
Sun City, AZ 85351
Phone (480) 772-9049

13041 N Del Webb Blvd
Ste 130
Sun City, AZ 85351
Phone (623) 404-6777

15405 N 99th Ave
Ste A
Sun City, AZ 85351
Phone (623) 584-5626

9744 W Bell Rd
Sun City, AZ 85351
Phone (888) 553-8346

14300 W Granite Valley Dr
Ste B5
Sun City West, AZ 85375
Phone (623) 546-4930

14418 W Meeker Blvd
#B105
Sun City West, AZ 85375

14418 W Meeker Blvd
Ste 105
Sun City West, AZ 85375
Phone (602) 548-0981

14420 W Meeker Blvd
Ste 203
Sun City West, AZ 85375
Phone (480) 772-9049

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

18715 N Reems Rd
Ste 140
Surprise, AZ 85374
Phone (623) 310-2626

1175 W Wickenburg Way
Wickenburg, AZ 85390
Phone (480) 266-9293

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1578967162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-867-8644",
            "fax_number": "602-606-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST STE 321",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202459",
            "telephone_number": "602-867-8644",
            "fax_number": "602-606-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "TAP7371",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.