Individual provider Active NPI

Marlene D Jones, RN

  • Registered Nurse
  • Longview, WA
National Provider Identifier
1598216129
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00125749 Issued in WA
Practice address
5612 Ocean Beach Hwy
Suite 112
Longview, WA 98632-6214
Phone
(360) 747-7716
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00125749 WA Primary

Addresses

Primary practice location

5612 Ocean Beach Hwy
Suite 112
Longview, WA 98632-6214

Mailing address

1118 20TH Ave
Longview, WA 98632-2222
Phone (360) 747-7716

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
RN00125749WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cna School of Longview Health Education Center Inc Registered Nurse Current Accepting new patients
Divine Home Health Care Inc Current Accepting new patients

Locations

5612 Ocean Beach Hwy
Ste 112
Longview, WA 98632
Phone (360) 747-7716

Organizations & group practices 2

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1598216129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 20TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322222",
            "telephone_number": "360-747-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 OCEAN BEACH HWY",
            "address_2": "SUITE 112",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326214",
            "telephone_number": "360-747-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARLENE",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00125749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.