Richard M Marino, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 1218162 Issued in FL

Practice address

401 Melbourne Ave
Indialantic, FL 32903-4317

Phone

(321) 794-4752

Fax

(866) 268-1619

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1992774475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MELBOURNE AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034317",
            "telephone_number": "321-794-4752",
            "fax_number": "866-268-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MELBOURNE AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034317",
            "telephone_number": "321-794-4752",
            "fax_number": "866-268-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malabar Rd",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-409-6800 x3523",
            "fax_number": "321-951-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 1218162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304356800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Luettgen
• Jessica S Magnaldi, NURSE PRACTITIONER
• Nely Arely Maldonado - de Los Santos
• Jessica Lynn Mansfield, D.D.S.
• Lon Manson, M.D.
• Robin J Martinez-Williams, DC
• Atalie Mayer, AP
• Virginia McCarley, MS, LMHC, LPC
• Christopher Wayne McDougall, DPT
• Natalie McLachlan, OT

• All providers in Indialantic, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.