Individual provider Active NPI

Nakia Marunowski, RN

  • Registered Nurse
  • Hudson, OH
National Provider Identifier
1699239442
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
356778 Issued in OH
Practice address
118 W Streetsboro St Ste 139
Hudson, OH 44236-2752
Phone
(330) 597-9040
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RE2307 GU
Registered Nurse 163W00000X 641774 PA
Registered Nurse 163W00000X 9321636 FL
Registered Nurse 163W00000X 831304 CA
Registered Nurse 163W00000X 356778 OH Primary

Addresses

Primary practice location

118 W Streetsboro St Ste 139
Hudson, OH 44236-2752

Mailing address

3042 Porter Rd
Atwater, OH 44201-9539
Phone (440) 289-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
831304CAMDRegistered Nurse
9321636FLMDRegistered Nurse
RE2307GUMDRegistered Nurse
356778OHMDRegistered Nurse
641774PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1699239442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 PORTER RD",
            "city": "ATWATER",
            "state": "OH",
            "postal_code": "442019539",
            "telephone_number": "440-289-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W STREETSBORO ST STE 139",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362752",
            "telephone_number": "330-597-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUNOWSKI",
        "first_name": "NAKIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GU",
            "license": "RE2307",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "641774",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9321636",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "831304",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "356778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.