Active NPI
Maryellen Craig, ARNP
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1154484061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 1722272
- Practice address
- 3659 S Miami Ave
Ste. 2001
Miami, FL 33133-4227 - Phone
- (305) 854-8801
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 1722272 | FL | Primary |
Addresses
Primary practice location
3659 S Miami Ave
Ste. 2001
Miami, FL 33133-4227
Mailing address
3659 S Miami Ave
Ste. 2001
Miami, FL 33133-4227
Phone (305) 854-8801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C620 540 53 7570 | Other | FL | DRIVERS 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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1722272 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healthcaring Clinic of Florida, LLC | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Orange City, FL
- NPI 1003914441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154484061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3659 S MIAMI AVE",
"address_2": "STE. 2001",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334227",
"telephone_number": "305-854-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 S MIAMI AVE",
"address_2": "STE. 2001",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334227",
"telephone_number": "305-854-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "MARYELLEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 1722272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "C620 540 53 7570",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.