Individual provider Active NPI

Arlena C. Falcon, ARNP-C

  • Adult Health Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1164400255
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP665682 Issued in FL
Practice address
4319 Lafayette St
Marianna, FL 32446-2982
Phone
(850) 372-4454
Fax
(850) 372-4453
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP665682 FL Primary
Women's Health Nurse Practitioner 363LW0102X ARNP665682 FL

Addresses

Primary practice location

4319 Lafayette St
Marianna, FL 32446-2982

Mailing address

5258 NW Candy LN
Altha, FL 32421-4452
Phone (850) 663-7501

Other identifiers 1

IdentifierTypeStateIssuer
34512100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040826001136 FL Practitioner - Nurse Practitioner 2769457456 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families CurrentSince Jun 3, 2021 Accepting new patients
Florida Department of Children and Families Current Accepting new patients
Florida Department of Children and Families CurrentSince Jun 3, 2021 Accepting new patients
Primary Care Center of Lynn Haven Past Accepting new patients
Primary Care Center, P.a. Past Accepting new patients

Locations

100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215

100 N Main St
Chattahoochee, FL 32324
Phone (850) 663-7001

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

Organizations & group practices 5

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1164400255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 NW CANDY LN",
            "city": "ALTHA",
            "state": "FL",
            "postal_code": "324214452",
            "telephone_number": "850-663-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 LAFAYETTE ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462982",
            "telephone_number": "850-372-4454",
            "fax_number": "850-372-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "ARLENA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP665682",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP665682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34512100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.