MRS. REBECCA K BAKER MARRIOTT RN MSN FNP-BC NPI 1679089759

NPI Information

NPI: 1679089759
Provider Name: MRS. REBECCA K BAKER MARRIOTT, RN, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 272-3533
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MRS. Rebecca K Baker Marriott, RN, MSN, FNP-BC is a family nurse practitioner in Grand Rapids, MI. MRS. Rebecca K Baker Marriott, RN, MSN, FNP-BC NPI is 1679089759. 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:

770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546-602
Phone: (616) 272-3533
Fax: (616) 259-4839

The NPI 1679089759 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 enumeration date for this NPI number is 12/27/2017 and was last updated on 3/12/2024.

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
1	163W00000X	Registered Nurse		RN.0165656	COLORADO	No
2	363LA2100X	Nurse Practitioner	Acute Care	4704335942	MICHIGAN	No
3	363LF0000X	Nurse Practitioner	Family	4704335942	MICHIGAN	Yes
4	163W00000X	Registered Nurse		4704335942	MICHIGAN	No

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: 4/28/2024

NPI Synchronization or Removal

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