Active NPI
Marianne Geralyn Becker, RN
- Registered Nurse
- Olympia, WA
National Provider Identifier
1790331346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00098940
- Practice address
- 4012 Wiggins Rd SE
Olympia, WA 98501-4372 - Phone
- (253) 533-9050
- NPI assigned
- Aug 9, 2019
- Last updated
- Aug 9, 2019
- 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 | RN00098940 | WA | Primary |
Addresses
Primary practice location
4012 Wiggins Rd SE
Olympia, WA 98501-4372
Mailing address
285 E Cedar St
Belfair, WA 98528-9168
Phone (425) 599-6994
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kmaaz@AshleyHouseKids.com | Direct |
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 |
|---|---|---|---|
| RN00098940 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley House | Past | Accepting new patients |
Interoperability endpoints
- kmaaz@ashleyhousekids.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ashley House NW- Olympia
- Pediatric Skilled Nursing Facility
- Olympia, WA
- NPI 1801019328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1790331346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 E CEDAR ST",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985289168",
"telephone_number": "425-599-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 WIGGINS RD SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014372",
"telephone_number": "253-533-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "MARIANNE",
"middle_name": "GERALYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00098940",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kmaaz@AshleyHouseKids.com",
"affiliation": "N",
"endpointDescription": "email of executive director",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4012 Wiggins Rd SE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985014372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.