Active NPI
Andrea Lynn Marion
- Case Manager/Care Coordinator
- Palmetto Bay, FL
National Provider Identifier
1295821387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 17615 SW 97TH Ave
Palmetto Bay, FL 33157-5636 - Phone
- (786) 268-2611
- Fax
- (786) 268-1748
- NPI assigned
- Oct 5, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Developmental Therapist | 222Q00000X | |||
| Social Worker | 104100000X |
Addresses
Primary practice location
17615 SW 97TH Ave
Palmetto Bay, FL 33157-5636
Mailing address
2514 Linda Ave
Rear Apt
Key West, FL 33040-5114
Phone (305) 731-9218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811931700 | Medicaid | FL | |
| 766660800 | Medicaid | FL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1295821387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 LINDA AVE",
"address_2": "REAR APT",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330405114",
"telephone_number": "305-731-9218",
"fax_number": "866-903-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17615 SW 97TH AVE",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331575636",
"telephone_number": "786-268-2611",
"fax_number": "786-268-1748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARION",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811931700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766660800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.