Active NPI
Marsha Kidder Rauch, A.R.N.P., PHD.
- Gerontology Nurse Practitioner
- Eustis, FL
National Provider Identifier
1164495396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP518912
- Practice address
- 2000 Prevatt St
Suite B3
Eustis, FL 32726-6149 - Phone
- (407) 869-1450
- Fax
- (407) 574-4625
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP518912 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | ARNP518912 | FL | Primary |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | ARNP518912 | FL |
Addresses
Primary practice location
2000 Prevatt St
Suite B3
Eustis, FL 32726-6149
Mailing address
1450 West Lake Brantley Road
Longwood, FL 32779-4766
Phone (407) 869-1450
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
- Nurse Practitioner, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marsha K. Rauch, PHD, Arnp | Gerontology | Past | Accepting new patients |
| Florida Facilitists, LLC | 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.
-
- Gerontology Nurse Practitioner
- Eustis, FL
- NPI 1427232487
-
- Geriatric Medicine (Internal Medicine) Physician
- Longwood, FL
- NPI 1043252307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1164495396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WEST LAKE BRANTLEY ROAD",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794766",
"telephone_number": "407-869-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PREVATT ST",
"address_2": "SUITE B3",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266149",
"telephone_number": "407-869-1450",
"fax_number": "407-574-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "MARSHA",
"middle_name": "KIDDER",
"name_prefix": "Dr.",
"credential": "A.R.N.P., PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP518912",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP518912",
"primary": true
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP518912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.