Individual provider Active NPI

Ann Lauren Marra, D.C., C.I.M.E.

  • Chiropractor
  • Brooksville, FL
National Provider Identifier
1336132554
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
H6649 Issued in FL
Practice address
12082 Cortez Blvd
Brooksville, FL 34613-7371
Phone
(352) 684-2707
Fax
(352) 688-1282
NPI assigned
Aug 23, 2005
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X H6649 FL Primary
Chiropractor 111N00000X INACTIVE STATUS NJ
Chiropractor 111N00000X 1509 AL

Addresses

Primary practice location

12082 Cortez Blvd
Brooksville, FL 34613-7371

Mailing address

12082 Cortez Blvd
Brooksville, FL 34613-7371
Phone (352) 684-2707

Other identifiers 1

IdentifierTypeStateIssuer
K8155OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000093 FL Practitioner - Chiropractic 1658302591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accurate Chiropractic Clinic PAGroup PAC ID 5496786329, 2 clinicians

Practice addresses (Care Compare)

12082 Cortez Blvd
Brooksville, FL 34613-7371
Phone (352) 684-2707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H6649FLMDChiropractor
INACTIVE STATUSNJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Chiropractic Clinic PA CurrentSince Jul 1, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
C.O.Moss, D.C. L.L.C. Chiropractor PastSince Jan 30, 1998 Accepting new patients

Locations

12082 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-4938

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1336132554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12082 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137371",
            "telephone_number": "352-684-2707",
            "fax_number": "352-688-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12082 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137371",
            "telephone_number": "352-684-2707",
            "fax_number": "352-688-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRA",
        "first_name": "ANN",
        "middle_name": "LAUREN",
        "credential": "D.C., C.I.M.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "H6649",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "INACTIVE STATUS",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K8155",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.