Carol Renee Marcum

Primary specialty

SpecialistTaxonomy code 174400000X

License

KY-R1597 Issued in KY

Practice address

155 Mize Branch Rd
Manchester, KY 40962-6632

Phone

(606) 598-4667

NPI assigned

Apr 18, 2007

Sex

Female

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational Therapy Interventions, Inc.

  • Specialist
  • Manchester, KY
  • NPI 1760527477
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891911566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MIZE BRANCH RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626632",
            "telephone_number": "606-598-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MIZE BRANCH RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626632",
            "telephone_number": "606-598-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "CAROL",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY-R1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manchester Pharmacy LLC
• Manchester Prescription Center, LLC (Manchester Prescription Center)
• Manchester SNF Operations LLC (Laurel Creek Health & Rehabilitation)
• Laura E Manns-James, CNM
• Manps LLC (Hometown Pharmacy)
• Kayla Renee Marcum, APRN
• Cheryl Ann Mathis, BCBA
• Zachary Tyler McGeorge, MSW
• Jacquelyn M McGhee, CCC-SLP
• Aissa V McLendon, CSW

• Specialist in Manchester, KY
• Providers in Manchester, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.