Marnette Valcin, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R212953 Issued in MD

Practice address

7800 House of Corrections Rd
Jessup, MD 20794

Phone

(410) 799-6100

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By the provider in NPPES

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Health Medical Group MD PC

  • Primary Care Clinic/Center
  • Lutherville, MD
  • NPI 1407662901

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1801399373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 SAMUEL MORSE DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 HOUSE OF CORRECTIONS RD",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "20794",
            "telephone_number": "410-799-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCIN",
        "first_name": "MARNETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R212953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alizzi Stanchel, OD
• Inna Taller, M.D.
• Dabington Taylor
• Jovia Tugume
• Antar Tweshe
• Matthew Thomas Van Winkle, M.D.
• Karole White, PHARMD
• Steven George Whitefield, MD
• Lara Wood, RN IBCLC
• Yash Mehta DMD PC (Shine and Smile Dental)

• Adult Health Nurse Practitioner in Jessup, MD
• Providers in Jessup, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.