Active NPI
Marlene Dail, RN
- Nurse Practitioner
- Tarboro, NC
National Provider Identifier
1902876949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 200073
- Practice address
- 101 Clinic Dr
Tarboro, NC 27886-1935 - Phone
- (252) 823-2105
- NPI assigned
- Jan 24, 2006
- Last updated
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 200073 | NC | Primary |
Addresses
Primary practice location
101 Clinic Dr
Tarboro, NC 27886-1935
Mailing address
101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003529 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200073 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1902876949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CLINIC DR",
"city": "TARBORO",
"state": "NC",
"postal_code": "278861935",
"telephone_number": "252-823-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CLINIC DR",
"city": "TARBORO",
"state": "NC",
"postal_code": "278861935",
"telephone_number": "252-823-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIL",
"first_name": "MARLENE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "200073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003529",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tarboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.