Active NPI
Tatyana Maricic
- Pediatric Registered Nurse
- Cleveland, OH
National Provider Identifier
1720470909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 394987
- Practice address
- 2801 Martin Luther King Jr Dr
Cleveland, OH 44104-3815 - Phone
- (216) 448-6400
- NPI assigned
- Feb 25, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 394987 | OH | |
| Pediatric Registered Nurse | 163WP0200X | 394987 | OH | Primary |
Addresses
Primary practice location
2801 Martin Luther King Jr Dr
Cleveland, OH 44104-3815
Mailing address
6054 Pearl Rd
Parma Heights, OH 44130-2002
Phone (440) 212-6227
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 394987 | OH | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1720470909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6054 PEARL RD",
"city": "PARMA HEIGHTS",
"state": "OH",
"postal_code": "441302002",
"telephone_number": "440-212-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 MARTIN LUTHER KING JR DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043815",
"telephone_number": "216-448-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARICIC",
"first_name": "TATYANA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "OH",
"license": "394987",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "OH",
"license": "394987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.