Individual provider Active NPI

Marie Sonie Veillard, ARNP

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1083075170
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9299745 Issued in FL
Practice address
7109 NW 11TH PL
Gainesville, FL 32605-3170
Phone
(352) 225-3207
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 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 ARNP9299745 FL Primary

Addresses

Primary practice location

7109 NW 11TH PL
Gainesville, FL 32605-3170

Mailing address

7109 NW 11TH PL
Gainesville, FL 32605-3170

Other names 1

  • Marie Sonie Bossa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160711002029 FL Practitioner - Nurse Practitioner 9335431444 Reassigns benefits to 1 organization
I20171205000858 RI Practitioner - Nurse Practitioner 9335431444 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9299745FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Clinicals LLC CurrentSince Sep 2, 2023 Accepting new patients
C Gurol Erbay MD PA CurrentSince Mar 17, 2016 Accepting new patients
Medicine and Long Term Care Associates, LLC CurrentSince Oct 10, 2017 Accepting new patients

Locations

7109 NW 11th Pl
Ste B
Gainesville, FL 32605
Phone (352) 333-9909

333 Budlong Rd
Cranston, RI 02920
Phone (401) 943-4530

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

Organizations & group practices 3

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1083075170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053170",
            "telephone_number": "352-225-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEILLARD",
        "first_name": "MARIE",
        "middle_name": "SONIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9299745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BOSSA",
            "middle_name": "SONIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.