Individual provider Active NPI

Marietta Finkley, ITDS

  • Developmental Therapist
  • Gainesville, FL
National Provider Identifier
1043977515
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
3212 SW 25TH Dr Apt 1
Gainesville, FL 32608-2819
Phone
(859) 248-0351
NPI assigned
Nov 19, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X 7265 FL

Addresses

Primary practice location

3212 SW 25TH Dr Apt 1
Gainesville, FL 32608-2819

Mailing address

3212 SW 25TH Dr Apt 1
Gainesville, FL 32608-2819
Phone (859) 248-0351

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7265FLMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1043977515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SW 25TH DR APT 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082819",
            "telephone_number": "859-248-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SW 25TH DR APT 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082819",
            "telephone_number": "859-248-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKLEY",
        "first_name": "MARIETTA",
        "name_prefix": "Ms.",
        "credential": "ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "7265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.