| NPI | 1063863470 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2016-06-27 |
| Last Updated | 2025-01-28 |
| Mailing Address | 930 S Salina St Syracuse, NY 13202-3530 United States Phone: (315) 476-7921 | Fax: (315) 476-5529 📍 View Map |
| Primary Practice Address | 930 S Salina St Syracuse, NY 13202-3530 United States Phone: (315) 476-7921 | Fax: (315) 476-5529 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 04540772 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363LP0808X – Nurse Practitioner, Psych/Mental Health | NY | f406690-01 |
| Yes | 363LF0000X – Nurse Practitioner, Family | NY | F340670-1 |
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About NPI 1063863470
Marian Thompson N.P. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063863470. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Syracuse, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-06-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063863470?
NPI 1063863470 belongs to Marian Thompson N.P., a Nurse Practitioner, Family in Syracuse, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063863470 active?
The current status of NPI 1063863470 in the NPPES registry is Active. The record was last updated on 2025-01-28.
What specialty is NPI 1063863470?
NPI 1063863470 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063863470?
You can verify NPI 1063863470 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063863470?
The primary practice address on file for NPI 1063863470 is 930 S Salina St, Syracuse, NY 13202-3530. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063863470 issued?
NPI 1063863470 was first issued (enumerated) on 2016-06-27. The NPPES record was last updated on 2025-01-28.
Practice Location Map
Marian Thompson is located at 930 S Salina St, Syracuse, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Marian Thompson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063863470. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | f406690-01 | NY |
| Nurse Practitioner, Family | F340670-1 | NY |