Active NPI
Maryanne P Evans, ARNP
- Family Nurse Practitioner
- Winter Park, FL
National Provider Identifier
1174522742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 1049242
- Practice address
- 483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800 - Phone
- (407) 645-1847
- Fax
- (321) 274-0245
- NPI assigned
- Jul 18, 2005
- Last updated
- Aug 29, 2011
- 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 1049242 | FL | Primary |
Addresses
Primary practice location
483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800
Mailing address
483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800
Phone (407) 645-1847
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1049242 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longwood Medical Group PA | Past | Accepting new patients | |
| Cardiovascular Interventions PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4
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.
-
- Specialist
- Orlando, FL
- NPI 1790843332
-
- Cardiovascular Disease Physician
- Longwood, FL
- NPI 1235323023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1174522742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD",
"address_2": "SUITE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-645-1847",
"fax_number": "321-274-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD",
"address_2": "SUITE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-645-1847",
"fax_number": "321-274-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MARYANNE",
"middle_name": "P",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 1049242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.