Active NPI
Marisia Anne Ybarra, L.P.N
- Licensed Practical Nurse
- Creswell, OR
National Provider Identifier
1760844435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 201601737LPN
- Practice address
- 33142 Camas Swale Rd
Creswell, OR 97426-9732 - Phone
- (541) 510-3919
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 201601737LPN | OR | Primary |
Addresses
Primary practice location
33142 Camas Swale Rd
Creswell, OR 97426-9732
Mailing address
219 Hunsaker LN
Eugene, OR 97404-2477
Phone (541) 521-7176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695514 | Other | OR | SENIOR AND DISABLED SERVICES |
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 |
|---|---|---|---|
| 201601737LPN | OR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1760844435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 HUNSAKER LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042477",
"telephone_number": "541-521-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33142 CAMAS SWALE RD",
"city": "CRESWELL",
"state": "OR",
"postal_code": "974269732",
"telephone_number": "541-510-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBARRA",
"first_name": "MARISIA",
"middle_name": "ANNE",
"credential": "L.P.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "201601737LPN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR AND DISABLED SERVICES",
"identifier": "695514",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Creswell, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.