Active NPI
Evan Arlene Mighty, A.R.N.P., C.N.M.
- Nurse Practitioner
- Fort Pierce, FL
National Provider Identifier
1285642488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9231838
- Practice address
- 2401 Frist Blvd
Suite 3
Fort Pierce, FL 34950-4839 - Phone
- (772) 429-3400
- Fax
- (772) 429-3410
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9231838 | FL | Primary |
Addresses
Primary practice location
2401 Frist Blvd
Suite 3
Fort Pierce, FL 34950-4839
Mailing address
2401 Frist Blvd
Suite 3
Fort Pierce, FL 34950-4839
Phone (772) 429-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9231838 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285642488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 FRIST BLVD",
"address_2": "SUITE 3",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504839",
"telephone_number": "772-429-3400",
"fax_number": "772-429-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 FRIST BLVD",
"address_2": "SUITE 3",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504839",
"telephone_number": "772-429-3400",
"fax_number": "772-429-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGHTY",
"first_name": "EVAN",
"middle_name": "ARLENE",
"name_prefix": "Ms.",
"credential": "A.R.N.P., C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9231838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.