Active NPI
Marguerite Conlin-Marx
- School Registered Nurse
- Vancouver, WA
National Provider Identifier
1982165544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN00118760
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24601 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN00118760 | WA | MD | School 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.