Active NPI
Marie Jellinek, RN
- Registered Nurse
- Sandwich, MA
National Provider Identifier
1710087838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 92186
- Practice address
- 449 Route 130
Sandwich, MA 02563 - Phone
- (508) 888-9241
- Fax
- (508) 888-9243
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 92186 | MA | Primary |
Addresses
Primary practice location
449 Route 130
Sandwich, MA 02563
Mailing address
PO Box 905
Falmouth, MA 02541
Phone (508) 548-8989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256251 | Other | MA | MAGELLAN |
| 727622 | Other | MA | TUFTS HEALTH |
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92186 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710087838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "02541",
"telephone_number": "508-548-8989",
"fax_number": "508-548-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 ROUTE 130",
"city": "SANDWICH",
"state": "MA",
"postal_code": "02563",
"telephone_number": "508-888-9241",
"fax_number": "508-888-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELLINEK",
"first_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "92186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "256251",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "727622",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandwich, MA
Sources for this page
- 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.