Individual provider Active NPI

Judith Ann Marin, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
National Provider Identifier
1366458176
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 9268755 Issued in FL
Practice address
3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392
Phone
(352) 237-2400
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 9268755 FL Primary

Addresses

Primary practice location

3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392

Mailing address

4900 SW 46TH CT
Apt 2004
Ocala, FL 34474-6264
Phone (281) 236-3899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000508 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789769381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1500 SE 1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200

Hospital & facility affiliations

  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 9268755FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2019 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jun 23, 2019 Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients

Locations

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1366458176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW 46TH CT",
            "address_2": "APT 2004",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746264",
            "telephone_number": "281-236-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SW 34TH CIR",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743392",
            "telephone_number": "352-237-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9268755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2010; 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.