Individual provider Active NPI

Elizabeth Ann Marks de Martino, MSN, ARNP

  • Pediatric Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1033174735
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP 9215632 Issued in FL
Practice address
1801 SE 32ND Ave
Ocala, FL 34471-5532
Phone
(352) 629-0137
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP 9215632 FL Primary
Pediatric Nurse Practitioner 363LP0200X 423106 CA

Addresses

Primary practice location

1801 SE 32ND Ave
Ocala, FL 34471-5532

Mailing address

19050 SE 47TH PL
Morriston, FL 32668-3959
Phone (352) 528-9069

Other identifiers 1

IdentifierTypeStateIssuer
306491300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
423106CAMDPediatric Nurse Practitioner
ARNP 9215632FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1033174735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19050 SE 47TH PL",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326683959",
            "telephone_number": "352-528-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715532",
            "telephone_number": "352-629-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS DE MARTINO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 9215632",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "423106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306491300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.