Individual provider Active NPI

Marcy Davis, RN, ARNP

  • Nurse Practitioner
  • Marathon, FL
National Provider Identifier
1184938540
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9167001 Issued in FL
Practice address
365 Stirrup Key Blvd
Marathon, FL 33050-2943
Phone
(561) 313-3510
Fax
(561) 844-0649
NPI assigned
Jul 28, 2010
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9167001 FL Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000567 FL Practitioner - Nurse Practitioner 4082883715 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9167001FLMDRegistered Nurse
9167001FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Physicians PA CurrentSince Apr 7, 2015 Accepting new patients
First Choice Healthcare and Counseling, LLC CurrentSince May 20, 2017 Accepting new patients
Nursing Home Consultants LLC PastSince Apr 7, 2015 Accepting new patients

Locations

608 S US Highway 1
Fort Pierce, FL 34950
Phone (772) 216-6750

Organizations & group practices 3

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1184938540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 LEO LN",
            "address_2": "APT 231",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107403",
            "telephone_number": "561-313-3510",
            "fax_number": "561-844-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 STIRRUP KEY BLVD",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502943",
            "telephone_number": "561-313-3510",
            "fax_number": "561-844-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARCY",
        "credential": "RN, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9167001",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9167001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.