Marie Morley Herrmann, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2944262 Issued in FL

Practice address

300 Lady LN
Fall Branch, TN 37656-1814

Phone

(561) 301-5667

NPI assigned

Jan 13, 2006

Last updated

Apr 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
• Jacqueline B Pevny MD PA

  • Geriatric Psychiatry Physician
  • Boca Raton, FL
  • NPI 1003049743
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1306825625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LADY LN",
            "city": "FALL BRANCH",
            "state": "TN",
            "postal_code": "376561814",
            "telephone_number": "561-301-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LADY LN",
            "city": "FALL BRANCH",
            "state": "TN",
            "postal_code": "376561814",
            "telephone_number": "561-301-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "MARIE",
        "middle_name": "MORLEY",
        "name_prefix": "Ms.",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "2944262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Brandon, MD
• Shawn Clark, REGISTERED NURSE
• Richard Crusenberry Jr., PHARM.D.
• Marc Ferrington, PHARMD
• Tina M Head, BS
• Andrea R Hooper, FNP-BC
• Joseph Carter Johnston II, LPC-MHSP
• Mark H Kolarsky (Family Pharmacy)
• Megan Hope Morelock, FNP
• Hera S Pickering, PRIVATE CAREGIVER

• Gerontology Nurse Practitioner in Fall Branch, TN
• Providers in Fall Branch, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.