Penina Njeri Marenge, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN2277910 Issued in MA

Practice address

103 Myron St Ste a
West Springfield, MA 01089-1485

Phone

(413) 592-1980

Fax

(413) 439-0100

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1891200457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEDITTERRANEAN DRIVE APT 35",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MYRON ST STE A",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891485",
            "telephone_number": "413-592-1980",
            "fax_number": "413-439-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENGE",
        "first_name": "PENINA",
        "middle_name": "NJERI",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2277910",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2277910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Manning
• Jennifer Marazi, LICSW
• Katelyn Marie Marchie
• Jennifer Mae Marcus, LICSW, CCM
• Steven P Marcus, LCSW
• Jessica C Marquez, MSW
• Leslie Jael Marshall, FNP-C
• Topanga S Marshall
• Martin Luther King, Jr. Charter School
• Catherine E Martin

• Gerontology Nurse Practitioner in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.