Marianne Arruda-Wennberg, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11020938 Issued in FL

Practice address

770 Schuster Rd SW
Palm Bay, FL 32908-1711

Phone

(321) 720-3014

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Spacecoast Wound Specialist LLC

  • Gerontology Nurse Practitioner
  • Palm Bay, FL
  • NPI 1417787490
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1245965458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SCHUSTER RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081711",
            "telephone_number": "321-720-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SCHUSTER RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081711",
            "telephone_number": "321-720-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRUDA-WENNBERG",
        "first_name": "MARIANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11020938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamil A Arbaje, MD
• Jenifer Arbona Veitia, RBT
• Ark Center of Brevard
• Sandra L Armstrong, ARPN
• Glenn Arnold
• Sean Michael Artman
• Venatoria Ellen Asbury-Staple, LMHC
• Muhammad Irfan Aslam, MD
• Christi Anna Asper, PA-C
• Assaf, Inc

• Gerontology Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.