KATHLEEN MARMORINE NPI 1356370993

NPI Information

  • NPI: 1356370993
  • Provider Name: KATHLEEN MARMORINE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: HIGHWAY 1
    BOX 497
    RED LAKE, MN
    ZIP 56671
  • Phone: (218) 679-3912

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NPI Details

Kathleen Marmorine is a family nurse practitioner in Red Lake, MN with 25 years of experience. Kathleen Marmorine NPI is 1356370993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HIGHWAY 1
BOX 497
RED LAKE, MN
ZIP 56671-497
Phone: (218) 679-3912
Fax: (218) 679-0181

The NPI 1356370993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Screening mammography (HCPCS:77067)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 11/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR 138537-1MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q16268MEDICARE UPINMINNESOTA
2387K5MAOTHERMINNESOTABC/BS OF MN
38HD196MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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