Active NPI
John D Marino, FNP
- Family Nurse Practitioner
- Denham Springs, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 05610 APRN
- Practice address
- 1585 S Range Ave
Denham Springs, LA 70726-5201 - Phone
- (225) 791-0002
- NPI assigned
- Dec 10, 2008
- Sex
- Male
- 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 | 05610 APRN | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | 100696 RN | LA |
Addresses
Primary practice location
1585 S Range Ave
Denham Springs, LA 70726-5201
Mailing address
Dept 960139
Oklahoma City, OK 73196-0139
Phone (877) 485-4474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1799190 | Medicaid | LA | |
| P00913286 | Other | LA | RRMCARE THRU DSUC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12525 Perkins Rd
Suite B
Baton Rouge, LA 70810-1907
Phone (225) 819-8857
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05610 APRN | LA | MD | Family Nurse Practitioner |
| 100696 RN | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients |
Locations
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352
8249 Vincent Rd
Denham Springs, LA 70726
Phone (225) 480-1210
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1164422630
-
- Urgent Care Clinic/Center
- Zachary, LA
- NPI 1205143708
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1962647610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 960139",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731960139",
"telephone_number": "877-485-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 S RANGE AVE",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707265201",
"telephone_number": "225-791-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "JOHN",
"middle_name": "D",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-10",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "05610 APRN",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "100696 RN",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1799190",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE THRU DSUC",
"identifier": "P00913286",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.