Active NPI
Marlene C Chance, APRN, MSN, PHD, EJD
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1235110669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP0969002
- Practice address
- 2488 North University Drive
Pembroke Pines, FL 33024 - Phone
- (954) 983-9191
- NPI assigned
- Nov 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP0969002 | FL | Primary |
Addresses
Primary practice location
2488 North University Drive
Pembroke Pines, FL 33024
Mailing address
6610 SW 57TH St
Davie, FL 33314-7133
Phone (954) 581-8137
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060125000377 | FL | Practitioner - Nurse Practitioner | 8729002050 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP0969002 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Associates, LLC | Current | Accepting new patients |
Locations
2295 N University Dr
Pembroke Pines, FL 33024
Phone (954) 932-0132
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1235110669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 SW 57TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147133",
"telephone_number": "954-581-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 NORTH UNIVERSITY DRIVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-983-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCE",
"first_name": "MARLENE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "APRN, MSN, PHD, EJD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-11",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP0969002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.