Ingrid A Marisin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

284009 Issued in NY

Practice address

Mach RPC
Martin Loop Building 9224
Fort Benning, GA 31905

Phone

(706) 544-2633

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649354952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 N VALDEZ CT APT B",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319057876",
            "telephone_number": "706-544-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MACH RPC",
            "address_2": "MARTIN LOOP BUILDING 9224",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-544-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISIN",
        "first_name": "INGRID",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "284009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob R. Maechler, PA-C
• Miles E Mahan, M.D.
• Jeramy Mahoney, DNP
• Felix Majors
• Lucinda Marie Majors, DPT, OCS, CERT MDT
• Martin Army Community Hospital (CTMC-Ft. Benning)
• Martin Army Community Hospital (CTMC 2-Harmony Church)
• Martin Army Community Hospital (Usadc Ft. Benning Martin Ach)
• Martin Army Community Hospital (Usadc Ft. Benning Bernheim)
• Martin Army Community Hospital (Usadc Ft. Benning Love)

• Licensed Practical Nurse in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.