Nicole Mareno, PHD, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201819 Issued in GA

Practice address

3197 Rilman Dr NW
Atlanta, GA 30327-2224

Phone

(619) 890-5461

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1679055776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW # 179",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "619-890-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3197 RILMAN DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272224",
            "telephone_number": "619-890-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENO",
        "first_name": "NICOLE",
        "credential": "PHD, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "201819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marder, M.D.
• Charles Gregory Mardis, M.D.
• Janie Mardis, LMSW
• Holly Rochelle Marecheau, LMFT
• Joseph Mareno Jr., M.D.
• Emmanuel Marfo
• Roni Margalit
• Margaret Buice LLC
• Margaret Byrne
• Mary Elizabeth Margeson, NP

• Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.