Active NPI
Cheryl Marvin, APRN, FNP-BC
- Family Nurse Practitioner
- Columbia, MD
National Provider Identifier
1700589124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27107
- Practice address
- 10175 Little Patuxent Pkwy
Columbia, MD 21044-2655 - Phone
- (803) 644-0778
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27107 | SC | Primary |
Addresses
Primary practice location
10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Mailing address
10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Phone (803) 644-0778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective May 7, 2025 through May 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- cheryl.marvin@115443077021700.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1700589124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 LITTLE PATUXENT PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442655",
"telephone_number": "803-644-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10175 LITTLE PATUXENT PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442655",
"telephone_number": "803-644-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVIN",
"first_name": "CHERYL",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
- Mary Martini
- Johanna H Martino, CRNP
- Gwen Lynne Martinsen, PH.D.
- Morgan Elizabeth Martucci
- Jeffrey Tayag Marucut, PA-C
- Maryam Aslam DMD, P.C.
- Maryland and Virginia Phlebology PC
- Maryland Center for Neuro-Ophthalmology & Neuro-Otology, P.C.
- Maryland Coalition of Families for Children'S Mental Health, Inc.
- Maryland CVS Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.