MB Primary Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9400491 Issued in FL

Legal business name

MB PRIMARY CARE LLC

Practice address

9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522

Phone

(727) 394-1500

Fax

(866) 632-1343

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Marie Bibb, ARNPNPI 1063865608

Title

Owner

Phone

(816) 258-0431

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Melissa Bibb ARNP Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Bibb, ARNP

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1063865608

  Single Specialty

  Medicare reassignment NPD Authorized official
• Stephanie Natasha Bailey, APRN

  • Nurse Practitioner
  • Seminole, FL
  • NPI 1720724115
  Medicare reassignment NPD
• Arianne Marie Byers, APRN

  • Adult Health Nurse Practitioner
  • Pinellas Park, FL
  • NPI 1245822378
  Medicare reassignment NPD
• Mirela Hadzic, APRN, FNP-C

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1295321644
  Medicare reassignment NPD
• Jillian Meaghan Lodico, ARNP

  • Family Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1780202838
  Medicare reassignment NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1003336181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GLENMOOR RD S",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337644922",
            "telephone_number": "816-258-0431",
            "fax_number": "866-632-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 104",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722522",
            "telephone_number": "727-394-1500",
            "fax_number": "866-632-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-258-0431",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9400491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9400491",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857390",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Bibb ARNP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Melissa Bibb ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eve L Massarsky, PA-C
• Turrel Mathews, RPH
• Cynthia Matthews-Hamad, M.A.
• Sumeen Maur, DMD
• Dorca N. May
• Michele Colleen McCranie, A.P.
• Macy Moore McElwaney, DMD
• Truman McGhee, O.D.
• Fotini C McGinley, CCC-SLP
• Stephen C McGinley, M.S., L.M.H.C.

• Nurse Practitioner in Seminole, FL
• Providers in Seminole, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.