Marilyn Cieszykowski, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17661 Issued in CO

Practice address

507 Central Ave
Dolores, CO 81323-0908

Phone

(970) 882-7221

Fax

(970) 882-4243

NPI assigned

Oct 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 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.

• Dolores Medical Center

  • Rural Health Clinic/Center
  • Dolores, CO
  • NPI 1366709263
  NPD (past)
• Dolores Medical Center PC

  • Clinic/Center
  • Dolores, CO
  • NPI 1952414260
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700875804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "813231251",
            "telephone_number": "970-882-7221",
            "fax_number": "970-882-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CENTRAL AVE",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "813230908",
            "telephone_number": "970-882-7221",
            "fax_number": "970-882-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESZYKOWSKI",
        "first_name": "MARILYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "17661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspire Higher, Inc. (Fireside Center for Counseling)
• Breitenbach Chiropractic PLLC
• Eric Joseph Breitenbach, D.C.
• William Glenn Breitenbach, D.C,
• Allan Scott Burnside, M.D.
• Clancey Comisky
• Jordan Ami Dalton, LCSW, LAC
• Dolores Medical Center
• Dolores Medical Center PC
• Dolores River Remodel, LLC

• Family Nurse Practitioner in Dolores, CO
• Providers in Dolores, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.