Theresa Marvin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

125792-30 Issued in WI

Practice address

158 S Anderson St
Suite 1
Rhinelander, WI 54501-3447

Phone

(715) 369-7300

Fax

(715) 369-7301

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: theresa.marvin@schc.directbygreenway.com

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.

• Options Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greendale, WI
  • NPI 1720369366
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1962852236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 S ANDERSON ST",
            "address_2": "SUITE 1",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013447",
            "telephone_number": "715-369-7300",
            "fax_number": "715-369-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "THERESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "125792-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott L Marsan, MD
• Marshfield Clinic
• Marshfield Clinic, Inc.
• Richard Wayne Martin, LCSW, LMFT,LPC,CADC
• Bobbi Marvin
• Sarah J Marx
• Kevin Joseph Mastey, D.D.S.
• Richard Mayrer, MD
• Amanda McAtee
• Byron C McDonald, CRNA

• Registered Nurse in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.