Marney Scully, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22476930 Issued in WI

Practice address

6314 95TH Ave
Kenosha, WI 53142-8166

Phone

(847) 354-1353

NPI assigned

Nov 12, 2018

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1659849388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 KENSINGTON CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600316213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 95TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428166",
            "telephone_number": "847-354-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "MARNEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "22476930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Schwerdtfeger
• Ashley R Schwoerer, APNP
• Erin Scibelli
• Scott Aschenbrener, M.D., S.C.
• Scott B. Lundgren, D.O., S.C.
• Michael J Scumaci, M.D.
• Kamesha Seagle, MSN
• Sears Holdings Corporation
• Tyler W Secor, LPC
• Jeannie Seefeldt, CSW, CADC III

• Registered Nurse in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.