Active NPI
Marlene Wood, RN
- Registered Nurse
- Templeton, CA
National Provider Identifier
1891966495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 54062
- Practice address
- 1050 Las Tablas Rd
Suite 16
Templeton, CA 93465-9729 - Phone
- (805) 434-1038
- NPI assigned
- Mar 21, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 54062 | CA | Primary |
Addresses
Primary practice location
1050 Las Tablas Rd
Suite 16
Templeton, CA 93465-9729
Mailing address
150 Tejas PL
PO Box 430
Nipomo, CA 93444-9123
Phone (805) 929-3211
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)
- Not enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1891966495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TEJAS PL",
"address_2": "PO BOX 430",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934449123",
"telephone_number": "805-929-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LAS TABLAS RD",
"address_2": "SUITE 16",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934659729",
"telephone_number": "805-434-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MARLENE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-21",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "54062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Templeton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.