Individual provider Active NPI

Maureen B Oreilly, ARNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1053558635
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
820712 Issued in FL
Practice address
634 N Jefferson Ave
Sarasota, FL 34237-4439
Phone
(941) 313-9179
Fax
(941) 993-1125
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 820712 FL Primary

Addresses

Primary practice location

634 N Jefferson Ave
Sarasota, FL 34237-4439

Mailing address

634 N Jefferson Ave
Sarasota, FL 34237-4439
Phone (941) 313-9179

Other identifiers 1

IdentifierTypeStateIssuer
820712OtherFLARNP LICENSE

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

State licenses

LicenseStateTypeSpecialty
820712FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1053558635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 N JEFFERSON AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342374439",
            "telephone_number": "941-313-9179",
            "fax_number": "941-993-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 N JEFFERSON AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342374439",
            "telephone_number": "941-313-9179",
            "fax_number": "941-993-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREILLY",
        "first_name": "MAUREEN",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "820712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "820712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.