Marcy Davis, RN, ARNP
Individual provider Active NPI Nurse Practitioner · Marathon, FL
NPI 1184938540 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1184938540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 9167001 (FL)
- Practice address
- 365 Stirrup Key Blvd
Marathon, FL 33050-2943 - Phone
- (561) 313-3510
- Fax
- (561) 844-0649
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110812000567 | FL | Practitioner - Nurse Practitioner | 4082883715 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9167001 | FL | MD | Registered Nurse |
| 9167001 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Healthcare and Counseling, LLC | Current |
Accepting new patients | |
| Nursing Home Physicians PA | Current |
Accepting new patients | |
| Nursing Home Consultants LLC | Past |
Accepting new patients |
Locations
608 S US Highway 1
Fort Pierce, FL 34950
Phone (772) 216-6750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9167001 | FL | Yes |
| Registered Nurse | 163W00000X | RN9167001 | FL |
Addresses
Primary practice location
365 Stirrup Key Blvd
Marathon, FL 33050-2943
Mailing address
4238 Leo LN
Apt 231
Riviera Beach, FL 33410-7403
Phone (561) 313-3510
Other providers in Marathon, FL
- Nicole Glaudine Cremata
- Julia Crenshaw
- Angelica Crosby
- Linda F Crosby
- Sherwood S Danoff
- Alfonsina De Asmundis
- Christopher James Delaney
- Dental Solutions the Keys LLC
- Laura Isabel Diaz-Jane
- Lorayne Diaz
All providers in Marathon, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.