Individual provider Active NPI

Marcia Tumy Byrnes, RN, FNP

  • Family Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1801035043
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18821 Issued in CA
Practice address
16 Ritter St
San Rafael, CA 94901-3323
Phone
(415) 457-8182
Fax
(415) 457-3490
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 236717 CA
Community Health Registered Nurse 163WC1500X 19099 CA
Family Nurse Practitioner 363LF0000X 18821 CA Primary

Addresses

Primary practice location

16 Ritter St
San Rafael, CA 94901-3323

Mailing address

129 Birch Way
San Rafael, CA 94903-2942
Phone (415) 847-5300

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

LicenseStateTypeSpecialty
18821CAMDSocial Worker
236717CAMDAdministrator Registered Nurse
19099CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: marcia.byrnes.1@14789.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1801035043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BIRCH WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032942",
            "telephone_number": "415-847-5300",
            "fax_number": "415-472-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RITTER ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013323",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "MARCIA",
        "middle_name": "TUMY",
        "name_prefix": "Ms.",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "236717",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "19099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.