Active NPI
Marianne D Varn, NP
- Family Nurse Practitioner
- Ithaca, NY
National Provider Identifier
1629048921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 330439
- Practice address
- 16 Brentwood Dr Ste B
Ithaca, NY 14850 - Phone
- (607) 266-7500
- Fax
- (607) 257-4318
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 330439 | NY | Primary |
Addresses
Primary practice location
16 Brentwood Dr Ste B
Ithaca, NY 14850
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330439 | NY | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1629048921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-472-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BRENTWOOD DR STE B",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-266-7500",
"fax_number": "607-257-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARN",
"first_name": "MARIANNE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "330439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.