Individual provider Active NPI

Tami Jo Marsters, RN

  • Registered Nurse
  • Kenai, AK
National Provider Identifier
1962897447
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22883 Issued in AK
Practice address
630 Barnacle Way Ste a
Kenai, AK 99611-7732
Phone
(907) 335-3424
Fax
(907) 335-3405
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22883 AK Primary

Addresses

Primary practice location

630 Barnacle Way Ste a
Kenai, AK 99611-7732

Mailing address

630 Barnacle Way Ste a
Kenai, AK 99611-7732
Phone (907) 335-3424

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

LicenseStateTypeSpecialty
22883AKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alaska Department of Administration Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1962897447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BARNACLE WAY STE A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117732",
            "telephone_number": "907-335-3424",
            "fax_number": "907-335-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BARNACLE WAY STE A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117732",
            "telephone_number": "907-335-3424",
            "fax_number": "907-335-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTERS",
        "first_name": "TAMI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "22883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.