Marianna Rutherford Vescovo

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

664256220 Issued in TN

Practice address

7205 Wolf River Blvd Ste 155
Germantown, TN 38138-1758

Phone

(901) 322-7020

NPI assigned

Nov 14, 2023

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• McDonald Murrmann Center for Skin and Laser LLC

  • Other Technician
  • Germantown, TN
  • NPI 1235904731

  Technician, Other

  NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1780458299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 LINDA LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172512",
            "telephone_number": "901-428-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD STE 155",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381758",
            "telephone_number": "901-322-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCOVO",
        "first_name": "MARIANNA",
        "middle_name": "RUTHERFORD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TN",
            "license": "664256220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Vazeii, PTA
• Pamela A Venegas, M.D.
• Brooke Veneklase, M.C.D.,CCC-SLP
• Jaya Venkataraman, MD
• Rebecca Vergho, SLP
• Ryan Edward Vick, DDS
• Gregory Vidal, M.D
• Elizabeth Marie Vigus, TLPC-MHSP
• Richard Paul Villane, OD
• Cindy Rae Vincent, COTA

• Other Technician in Germantown, TN
• Providers in Germantown, TN by specialty
• Other Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.