Individual provider Active NPI

Danielle Maragis

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1073218574
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023865 Issued in FL
Practice address
517 Buena Vista St
Lakeland, FL 33805-4504
Phone
(863) 688-3674
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 11023865 FL Primary

Addresses

Primary practice location

517 Buena Vista St
Lakeland, FL 33805-4504

Mailing address

734 Jefferson Ave
Lakeland, FL 33801-5637
Phone (720) 460-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11023865FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers, Inc Past Accepting new patients
Suncoast Community Health Centers, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1073218574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 JEFFERSON AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015637",
            "telephone_number": "720-460-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BUENA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054504",
            "telephone_number": "863-688-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAGIS",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.