Megan Elizabeth Marietta, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2818872A Issued in IN

Practice address

3487 S 4TH Street
Terre Haute, IN 47802

Phone

(812) 220-4755

Fax

(812) 301-1507

NPI assigned

Dec 28, 2017

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: megan.marietta.1@23284.direct.athenahealth.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.

• Proactive Mso, LLC

  • Primary Care Clinic/Center
  • Terre Haute, IN
  • NPI 1972011815
  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1992211965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 S 4TH STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "128-220-4755",
            "fax_number": "812-301-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 S 4TH STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "812-220-4755",
            "fax_number": "812-301-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIETTA",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "2818872A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Manlove, RBT
• Savannah Mann
• Vani Manyam, MD
• Antwan M Mardini, MD
• Scot C. Mardis, D.D.S.
• Mark O. Lynch
• Paula J Market, MD
• Steven L Marlow, PHD
• Hani Michael Marogil, DR
• Laxma Reddy Marri, M.D.

• All providers in Terre Haute, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.