Individual provider Active NPI

Melody Arcila Martin, ARNP

  • Family Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1164892048
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9278844 Issued in FL
Practice address
5333 N Dixie Hwy Ste 201
Oakland Park, FL 33334-3454
Phone
(954) 563-9876
NPI assigned
Oct 5, 2015
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 9278844 FL Primary

Addresses

Primary practice location

5333 N Dixie Hwy Ste 201
Oakland Park, FL 33334-3454

Mailing address

11941 NW 24TH St
Plantation, FL 33323-1958

Other practice location 1

1495 N Park Dr
Suite 100
Weston, FL 33326-3215
Phone (954) 659-9690

Other names 1

  • Melody Arcila 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9278844FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melody.martin.1@14940.direct.athenahealth.com
  • Direct secure messaging: melody.martin.1@16705.direct.athenahealth.com

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, 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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1164892048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 NW 24TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333231958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY STE 201",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343454",
            "telephone_number": "954-563-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 N Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263215",
            "country_code": "US",
            "telephone_number": "954-659-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELODY",
        "middle_name": "ARCILA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9278844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "ARCILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.