Active NPI
Marianne Kathryn Debarbadillo, BC-FNP
- Family Nurse Practitioner
- Huntington, WV
National Provider Identifier
1902921372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 35013
- Practice address
- 5933 E Pea Ridge Rd
Huntington, WV 25705-2629 - Phone
- (304) 736-6262
- Fax
- (304) 736-5984
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-00372 | OH | |
| Family Nurse Practitioner | 363LF0000X | 35013 | WV | Primary |
Addresses
Primary practice location
5933 E Pea Ridge Rd
Huntington, WV 25705-2629
Mailing address
804 Water St # a
Barboursville, WV 25504-1929
Phone (304) 733-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2085792 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00372 | OH | MD | Athletic Trainer |
| NP-00372 | OH | MD | Family Nurse Practitioner |
| 35013 | WV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1902921372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 WATER ST # A",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041929",
"telephone_number": "304-733-2930",
"fax_number": "304-736-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5933 E PEA RIDGE RD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052629",
"telephone_number": "304-736-6262",
"fax_number": "304-736-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBARBADILLO",
"first_name": "MARIANNE",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "BC-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-00372",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "35013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085792",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.