Individual provider Active NPI

Deborah L. Marino, ARNP-C

  • Adult Health Nurse Practitioner
  • Malabar, FL
National Provider Identifier
1093739302
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 1612532 Issued in FL
Practice address
730 Malabar Rd Ste a
Malabar, FL 32950-3140
Phone
(321) 409-6800
Fax
(321) 409-6821
NPI assigned
Jul 27, 2006
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 1612532 FL Primary

Addresses

Primary practice location

730 Malabar Rd Ste a
Malabar, FL 32950-3140

Mailing address

401 Melbourne Ave
Indialantic, FL 32903-4317
Phone (321) 794-4752

Other practice location 1

401 Melbourne Ave
Indialantic, FL 32903-4317
Phone (321) 544-2602

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 1612532OtherFLADULT NURSE PRACTIONER

Other names 1

  • Deborah L. Ghiotto Former name

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP 1612532FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Ho LLC Current Accepting new patients
Jai Ho Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1093739302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MELBOURNE AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034317",
            "telephone_number": "321-794-4752",
            "fax_number": "321-409-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MALABAR RD STE A",
            "city": "MALABAR",
            "state": "FL",
            "postal_code": "329503140",
            "telephone_number": "321-409-6800",
            "fax_number": "321-409-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Melbourne Ave",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329034317",
            "country_code": "US",
            "telephone_number": "321-544-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 1612532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT NURSE PRACTIONER",
            "identifier": "ARNP 1612532",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "GHIOTTO",
            "middle_name": "L.",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Malabar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.