Active NPI
Nicole Julie Marmen, RN
- Registered Nurse
- Hilo, HI
National Provider Identifier
1962761940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 64267
- Practice address
- 460 Kilauea Ave
Hilo, HI 96720-3084 - Phone
- (808) 935-3481
- Fax
- (808) 935-4436
- NPI assigned
- May 10, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 64267 | HI | Primary |
Addresses
Primary practice location
460 Kilauea Ave
Hilo, HI 96720-3084
Mailing address
460 Kilauea Ave
Hilo, HI 96720-3084
Phone (808) 935-3481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64267 | Other | HI | HAWAII STATE BOARD OF NURSING |
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 |
|---|---|---|---|
| 64267 | HI | MD | Registered Nurse |
Interoperability endpoints
- nicole.marmen.p1@direct.lanecounty.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1962761940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 KILAUEA AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967203084",
"telephone_number": "808-935-3481",
"fax_number": "808-935-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 KILAUEA AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967203084",
"telephone_number": "808-935-3481",
"fax_number": "808-935-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMEN",
"first_name": "NICOLE",
"middle_name": "JULIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "64267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII STATE BOARD OF NURSING",
"identifier": "64267",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.