Providence

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

OT00004622 Issued in WA

Legal business name

PROVIDENCE

Practice address

5019 126TH St NE
Marysville, WA 98271-9062

Phone

(360) 386-8061

NPI assigned

Sep 19, 2008

Last updated

Sep 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristal Corrine Marson, OTR/L

Title

Otr/L

Phone

(360) 386-8061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1821248402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 126TH ST. NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98271",
            "telephone_number": "360-386-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 126TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982719062",
            "telephone_number": "360-386-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "MARSON",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_middle_name": "CORRINE",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "360-386-8061",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "OT00004622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Marysville, WA
• Providers in Marysville, WA by specialty
• General Acute Care Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.