Marian Theresa McDermott-Webster, NURSE PRACTITIONER

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

F302551 Issued in NY

Practice address

225 Rabro Dr
Hauppauge, NY 11788-4241

Phone

(631) 853-3214

NPI assigned

Oct 12, 2009

Last updated

Oct 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Suffolk

  dba Bureau of Public Health Nursing-LTHC

  • Home Health Agency
  • Great River, NY
  • NPI 1497859615
  NPD (past)
• County of Suffolk

  dba Bureau of Public Health Nursing - CHHA

  • Home Health Agency
  • Great River, NY
  • NPI 1871506055
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1962737742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RABRO DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884241",
            "telephone_number": "631-853-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RABRO DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884241",
            "telephone_number": "631-853-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT-WEBSTER",
        "first_name": "MARIAN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F302551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey McAuliffe
• Shannon R McCaffrey
• Julia Marie McCarthy
• Lauren Marie McCarthy
• Alicja McCrudden, D.D.S
• Meaghan McDonough
• Kathleen Marie McElhone, NP
• Jack Albert McEnroe
• Stephanie A McGeachy, OTRL
• Patricia McGloin

• Adult Health Clinical Nurse Specialist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Adult Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.