Active NPI
Marilyn Dale Dimarco, APRN/FNP
- Family Nurse Practitioner
- Kenner, LA
National Provider Identifier
1861795874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN085134-AP06262
- Practice address
- 3715 Williams Blvd
Suite 100
Kenner, LA 70065-3075 - Phone
- (504) 465-4550
- Fax
- (504) 465-8590
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN085134-AP06262 | LA | Primary |
Addresses
Primary practice location
3715 Williams Blvd
Suite 100
Kenner, LA 70065-3075
Mailing address
3715 Williams Blvd
Suite 100
Kenner, LA 70065-3075
Phone (504) 465-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN085134-AP06262 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Shapiro Dimitri Medical, LLC | Past | Accepting new patients | |
| E. M. Dimitri, D.O. PMC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1861795874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 WILLIAMS BLVD",
"address_2": "SUITE 100",
"city": "KENNER",
"state": "LA",
"postal_code": "700653075",
"telephone_number": "504-465-4550",
"fax_number": "504-465-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 WILLIAMS BLVD",
"address_2": "SUITE 100",
"city": "KENNER",
"state": "LA",
"postal_code": "700653075",
"telephone_number": "504-465-4550",
"fax_number": "504-465-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARCO",
"first_name": "MARILYN",
"middle_name": "DALE",
"name_prefix": "Ms.",
"credential": "APRN/FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN085134-AP06262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.