Stephanie M Marazon, RN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA11708-NP Issued in OH

Practice address

1729 27TH St
Portsmouth, OH 45662-2638

Phone

(740) 354-1434

Fax

(740) 353-8811

NPI assigned

Sep 29, 2010

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)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1689983348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-354-1434",
            "fax_number": "740-353-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-354-1434",
            "fax_number": "740-353-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAZON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA11708-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Malone
• Victoria Grace Manis, MBA, ATC
• William Austin Manis, LSW, BSW
• Christopher Maple
• Eric Steven Marasek
• Joshua Marcantel
• Duane J Marchyn, MD
• Morgan L Marquis, LPN
• Lindsey Marsh, MSW, LSW
• Thomas A. Marsh, LISW

• Family Nurse Practitioner in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.