Individual provider Active NPI

Angela Lee Marky, ARNP

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1194951319
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3403902 Issued in FL
Practice address
1723 Mahan Center Blvd
Big Bend Hospice
Tallahassee, FL 32308-5428
Phone
(850) 566-2630
Fax
(850) 878-0294
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3403902 FL Primary

Addresses

Primary practice location

1723 Mahan Center Blvd
Big Bend Hospice
Tallahassee, FL 32308-5428

Mailing address

1723 Mahan Center Blvd
Big Bend Hospice
Tallahassee, FL 32308-5428
Phone (850) 566-2630

Other identifiers 1

IdentifierTypeStateIssuer
000904700MedicaidFL

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
I20090814000245 FL Practitioner - Nurse Practitioner 3476607177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3403902FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Nurse Practitioner CurrentSince Sep 20, 2009 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Sep 20, 2009 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients

Locations

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1194951319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 MAHAN CENTER BLVD",
            "address_2": "BIG BEND HOSPICE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085428",
            "telephone_number": "850-566-2630",
            "fax_number": "850-878-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 MAHAN CENTER BLVD",
            "address_2": "BIG BEND HOSPICE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085428",
            "telephone_number": "850-566-2630",
            "fax_number": "850-878-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKY",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3403902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.