Active NPI
Mariah Leigh Parker, ARNP
- Nurse Practitioner
- Ocala, FL
National Provider Identifier
1336270685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9326065
- Practice address
- 1015 SE 17TH St
Ocala, FL 34471-3968 - Phone
- (352) 351-3422
- NPI assigned
- Mar 8, 2007
- Last updated
- Jan 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9326065 | FL | Primary |
| Athletic Trainer | 2255A2300X | AL2041 | FL |
Addresses
Primary practice location
1015 SE 17TH St
Ocala, FL 34471-3968
Mailing address
1015 SE 17TH St
Ocala, FL 34471-3968
Phone (352) 351-3422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IC623Z | Other | FL | MEDICARE PTAN |
| Y0Q88 | Other | FL | FLORIDA BLUE |
Other names 1
- Mariah Leigh Holterman
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL2041 | FL | MD | Athletic Trainer |
| ARNP9326065 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1336270685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344713968",
"telephone_number": "352-351-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344713968",
"telephone_number": "352-351-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MARIAH",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9326065",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL2041",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IC623Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "Y0Q88",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "HOLTERMAN",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.