Individual provider Active NPI

Meegan D. Page, ARNP

  • Women's Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1184607939
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1130652 Issued in FL
Practice address
14548 Calusa Palms Dr
Fort Myers, FL 33919-7769
Phone
(941) 313-9894
Fax
(941) 866-8111
NPI assigned
Nov 25, 2005
Last updated
Jun 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1130652 FL Primary
Advanced Practice Midwife 367A00000X 1130652 FL

Addresses

Primary practice location

14548 Calusa Palms Dr
Fort Myers, FL 33919-7769

Mailing address

14548 Calusa Palms Dr
Fort Myers, FL 33919-7769
Phone (941) 313-9894

Other identifiers 1

IdentifierTypeStateIssuer
304984100MedicaidFL

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1130652FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology 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, 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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1184607939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14548 CALUSA PALMS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197769",
            "telephone_number": "941-313-9894",
            "fax_number": "941-866-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14548 CALUSA PALMS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197769",
            "telephone_number": "941-313-9894",
            "fax_number": "941-866-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MEEGAN",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "1130652",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "1130652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304984100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

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

Verify at the official NPI Registry.