Marianne Miller Iwamoto, ARNP, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007117 Issued in WA

Practice address

17254 140TH Ave SE
Renton, WA 98058-7014

Phone

(425) 226-7614

NPI assigned

Jan 17, 2006

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

Other names 1

• Marianne M Iwamoto Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: miwamoto234326@ghc.direct-ci.net

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.

• Sports and Spine

  • Clinic/Center
  • Bellevue, WA
  • NPI 1598255903
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1689654758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17254 140TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587014",
            "telephone_number": "425-226-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17254 140TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587014",
            "telephone_number": "425-226-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAMOTO",
        "first_name": "MARIANNE",
        "middle_name": "MILLER",
        "credential": "ARNP, C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "IWAMOTO",
            "middle_name": "M",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Elizabeth Isgur, MPT
• Andrea Ishem
• R Joseph Isner, MD
• Vanessa R Isom, SLP
• Sadia Mohamud Issa I
• Eugene Iwanyk, M.D.
• Jacqlyn Jackson
• Jelani Leif Jackson, MSW, LICSW
• Breana Jacobs
• Murray Jacobs

• Family Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.