Ivan Scott Marden, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN1240652 Issued in FL

Practice address

19030 NW 60TH Ave
Reddick, FL 32686-2312

Phone

(352) 262-2999

NPI assigned

Nov 30, 2009

Last updated

Nov 30, 2009By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1861720948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19030 NW 60TH AVE",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326862312",
            "telephone_number": "352-262-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19030 NW 60TH AVE",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326862312",
            "telephone_number": "352-262-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDEN",
        "first_name": "IVAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN1240652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart of Florida Health Center Inc
• Inclusive Care LLC
• Jahema Enterprise Inc (Reddick Discount Pharmacy)
• Tonya Alicia Johnson
• KWB Companion Services, LLC.
• Lisa B Murphy, MBA FMT
• Overflow of Blessings, LLC (Overflow of Blessings Home Health)
• Jessica Lavon Pete
• R T Sherlock Company (Robert T Sherlock)
• Emily Elizabeth Redick, LCSW

• Administrator Registered Nurse in Reddick, FL
• Providers in Reddick, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.