Individual provider Active NPI

Marguerite Conlin-Marx

  • School Registered Nurse
  • Vancouver, WA
National Provider Identifier
1982165544
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00118760 Issued in WA
Practice address
1403 NE 148TH Ave
Vancouver, WA 98684-3627
Phone
(360) 896-3363
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00118760 WA Primary

Addresses

Primary practice location

1403 NE 148TH Ave
Vancouver, WA 98684-3627

Mailing address

1403 NE 148TH Ave
Vancouver, WA 98684-3627
Phone (360) 896-3363

Other identifiers 1

IdentifierTypeStateIssuer
24601MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Vancouver

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

State licenses

LicenseStateTypeSpecialty
RN00118760WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1982165544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 NE 148TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843627",
            "telephone_number": "360-896-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 NE 148TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843627",
            "telephone_number": "360-896-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLIN-MARX",
        "first_name": "MARGUERITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00118760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24601",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vancouver",
            "affiliation": "N",
            "address_1": "1403 NE 148th Ave",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986843627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.