Active NPI
Marcy Davis, RN, ARNP
- Nurse Practitioner
- Marathon, FL
National Provider Identifier
1184938540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9167001
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
|---|---|---|---|
| Nursing Home Physicians PA | Current | Accepting new patients | |
| First Choice Healthcare and Counseling, LLC | 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
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.
-
- Medical Specialty Clinic/Center
- Fort Pierce, FL
- NPI 1427432715
-
- Internal Medicine Physician
- Marathon, FL
- NPI 1033346945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.