Marianne Decain Tarraza NP, LLC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

CNP81164 Issued in ME

Legal business name

MARIANNE DECAIN TARRAZA NP, LLC

Practice address

1000 Shore Rd
Building #326
Cape Elizabeth, ME 04107-1916

Phone

(207) 312-1063

Fax

(207) 375-5165

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer S Fournier

Title

Credentialing Billing Rep

Phone

(207) 312-1063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marianne Decain Tarraza, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, ME
  • NPI 1780646430
  Medicare reassignment NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1932454907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2328",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041162328",
            "telephone_number": "207-312-1063",
            "fax_number": "207-375-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SHORE RD",
            "address_2": "BUILDING #326",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041071916",
            "telephone_number": "207-312-1063",
            "fax_number": "207-375-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE DECAIN TARRAZA NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING BILLING REP",
        "authorized_official_telephone_number": "207-312-1063"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "ME",
            "license": "CNP81164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Psychiatric/Mental Health Registered Nurse in Cape Elizabeth, ME
• Providers in Cape Elizabeth, ME by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.