Active NPI
John William Marrin, ARNP
- Family Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 61077450
- Practice address
- 8720 14TH Ave S
Seattle, WA 98108-4807 - Phone
- (206) 762-3730
- NPI assigned
- Feb 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60749075 | WA | |
| Family Nurse Practitioner | 363LF0000X | 61077450 | WA | Primary |
Addresses
Primary practice location
8720 14TH Ave S
Seattle, WA 98108-4807
Mailing address
1836 24TH Ave
Seattle, WA 98122-3057
Phone (816) 719-4143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 140TH Ave NE
Bellevue, WA 98005-2972
Phone (425) 373-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60749075 | WA | MD | Registered Nurse |
| 61077450 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Community Health Services | Current | Accepting new patients | |
| International Community Health Services | Current | Accepting new patients | |
| International Community Health Services | Current | Accepting new patients |
Locations
1050 140th Ave NE
Bellevue, WA 98005
Phone (425) 373-3000
1050 140th Ave NE
Ste A
Bellevue, WA 98005
Phone (425) 373-3000
3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500
720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770
Interoperability endpoints
- jmarrin492449@direct.multicare.org
- jmarrin1186565@wm.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1376659151
-
- Federally Qualified Health Center (FQHC)
- Auburn, WA
- NPI 1831910439
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1902983109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1861026742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 24TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981223057",
"telephone_number": "816-719-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 14TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981084807",
"telephone_number": "206-762-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRIN",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60749075",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "61077450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.