Marcelina Reyes Socie, ACNP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704152589 Issued in MI

Practice address

2050 N Haggerty Rd Ste 100
Canton, MI 48187-3796

Phone

(734) 981-1086

NPI assigned

Jun 28, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robyn L. Dragoo, OD PC

  • Optometrist
  • Novi, MI
  • NPI 1447482369
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699296871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 STONEBRIDGE WAY CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886228",
            "telephone_number": "734-306-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873796",
            "telephone_number": "734-981-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 Drake Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223147",
            "country_code": "US",
            "telephone_number": "248-741-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOCIE",
        "first_name": "MARCELINA",
        "middle_name": "REYES",
        "credential": "ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704152589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R Smulsky, DDS
• Michelle Lynn Snead
• Kimberly Snodgrass
• Carlton W Snow
• Cheryl Snyder-Hughes, DC
• Niketa A Solanki, RPT
• Quintin Solano
• Gloria Jean Soluk, LMSW
• Evelyn Ruth Sommariva, PA-C
• Rogelio Lopez Soriano, RN CRNI

• Acute Care Nurse Practitioner in Canton, MI
• Providers in Canton, MI by specialty
• Acute Care Nurse Practitioner in Michigan

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