Individual provider Active NPI

Marina Alejandra Pellot

  • Health Educator
  • Ocala, FL
National Provider Identifier
1053056333
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
13795 SW 36TH Avenue Rd Ste 1
Ocala, FL 34473-6104
Phone
(352) 533-2371
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X FL Primary

Addresses

Primary practice location

13795 SW 36TH Avenue Rd Ste 1
Ocala, FL 34473-6104

Mailing address

13795 SW 36TH Avenue Rd Ste 1
Ocala, FL 34473-6104
Phone (352) 533-2371

Other identifiers 1

IdentifierTypeStateIssuer
123456789OtherFLMEDICARE DIABETES PREVENTION PROGRAM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marina@dtaws.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1053056333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13795 SW 36TH AVENUE RD STE 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344736104",
            "telephone_number": "352-533-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13795 SW 36TH AVENUE RD STE 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344736104",
            "telephone_number": "352-533-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOT",
        "first_name": "MARINA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DIABETES PREVENTION PROGRAM",
            "identifier": "123456789",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marina@dtaws.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13795 SW 36th Avenue Rd Ste 1",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344736104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 2, 2022; 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.