Individual provider Active NPI

Marilyn Eleanor Dunn, FNP

  • Family Nurse Practitioner
  • Sparkill, NY
National Provider Identifier
1790769271
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330016 Issued in NY
Practice address
175 Route 340
Medical RM 312
Sparkill, NY 10976-1041
Phone
(845) 359-3311
Fax
(845) 359-3310
NPI assigned
Nov 30, 2005
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330016 NY Primary

Addresses

Primary practice location

175 Route 340
Medical RM 312
Sparkill, NY 10976-1041

Mailing address

175 Route 340
Medical RM 312
Sparkill, NY 10976-1041
Phone (845) 359-3311

Other names 1

  • Sister Marilyn Eleanor Dunn Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F330016NYMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1790769271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROUTE 340",
            "address_2": "MEDICAL RM 312",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761041",
            "telephone_number": "845-359-3311",
            "fax_number": "845-359-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 340",
            "address_2": "MEDICAL RM 312",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761041",
            "telephone_number": "845-359-3311",
            "fax_number": "845-359-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "MARILYN",
        "middle_name": "ELEANOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SISTER MARILYN",
            "last_name": "DUNN",
            "middle_name": "ELEANOR",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.