Active NPI
Lisa Marquez
- Adult Psychiatric/Mental Health Registered Nurse
- Indio, CA
National Provider Identifier
1629387121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 609156
- Practice address
- 82485 Miles Ave
Indio, CA 92201 - Phone
- (760) 342-8200
- NPI assigned
- Sep 30, 2010
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 609156 | CA | Primary |
Addresses
Primary practice location
82485 Miles Ave
Indio, CA 92201
Mailing address
82485 Miles Ave
Indio, CA 92201-4249
Phone (760) 342-8200
Other practice location 1
2500 N Palm Canyon Dr
A1-A4
Palm Springs, CA 92262-1868
Phone (442) 268-7000
Other practice location 2
2500 N Palm Canyon Dr
A1-A4
Palm Springs, CA 92262-1868
Phone (442) 268-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124100383 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 609156 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Innovations, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Palm Springs, CA
- NPI 1326494741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1629387121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82485 MILES AVE",
"city": "INDIO",
"state": "CA",
"postal_code": "922014249",
"telephone_number": "760-342-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82485 MILES AVE",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-342-8200"
}
],
"practiceLocations": [
{
"address_1": "2500 N Palm Canyon Dr",
"address_2": "A1-A4",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922621868",
"country_code": "US",
"telephone_number": "442-268-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 N Palm Canyon Dr",
"address_2": "A1-A4",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922621868",
"country_code": "US",
"telephone_number": "442-268-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUEZ",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "609156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124100383",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.