Marigold Packheiser, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

600076 Issued in NC

Practice address

2334 S 41St St
Wilmington, NC 28403-5502

Phone

(336) 908-3462

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1801948997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N WARRENDALE CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094015",
            "telephone_number": "336-908-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 S 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "336-908-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKHEISER",
        "first_name": "MARIGOLD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "600076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Ozier, LCSW
• Somgolie Ozodigwe, NP
• Vernita Ozolins
• Lora Pacaldo, MD
• John S Pace, MD
• Jude Dana Padezanin, PT
• Susan Carmen Padezanin, PT
• Janice Aimee Padron, LCSWA
• Heather Shearin Page, PA-C
• Judy Walker Page, RBT

• Gerontology Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.