Active NPI
Marielle Beatrix M Nunez, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Toluca Lake, CA
National Provider Identifier
1720446925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 95179435
- Practice address
- PO Box
2582
Toluca Lake, CA 91610-0601 - Phone
- (323) 632-6487
- NPI assigned
- Feb 2, 2016
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 95179435 | CA | Primary |
Addresses
Primary practice location
PO Box
2582
Toluca Lake, CA 91610-0601
Mailing address
PO Box
2582
Toluca Lake, CA 91610-0601
Phone (323) 632-6487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720446925 | Other | CA | CNS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95179435 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Partners Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Supports Brokerage Agency
- Toluca Lake, CA
- NPI 1316306657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1720446925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX",
"address_2": "2582",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916100601",
"telephone_number": "323-632-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX",
"address_2": "2582",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916100601",
"telephone_number": "323-632-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "MARIELLE BEATRIX",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-02",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "95179435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNS",
"identifier": "1720446925",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toluca Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.