Individual provider Active NPI

Lelah Ruth Marzi, ARNP

  • Adult Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1396293056
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3370532 Issued in FL
Practice address
10229 NW 13TH Ave
Gainesville, FL 32606-8056
Phone
(561) 914-2500
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3370532 FL Primary

Addresses

Primary practice location

10229 NW 13TH Ave
Gainesville, FL 32606-8056

Mailing address

10229 NW 13TH Ave
Gainesville, FL 32606-8056
Phone (561) 914-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226002374 NC Practitioner - Nurse Practitioner 9739363052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3370532FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca a Prostko MD PA CurrentSince Oct 10, 2017 Accepting new patients
QSM-NC, PA Adult Health CurrentSince Feb 19, 2024 Accepting new patients
QSM-Ky, Inc Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

938 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 221-7620

2416 US Highway 70 E
Beaufort, NC 28516
Phone (252) 225-0112

3100 Erwin Rd
Durham, NC 27705
Phone (828) 652-3022

104 College Dr
Flat Rock, NC 28731
Phone (828) 639-8600

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

3003 Kensington Park Dr
New Bern, NC 28560
Phone (252) 638-1818

836 Ray Leggett Way
New Bern, NC 28560
Phone (252) 638-6001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1396293056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10229 NW 13TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068056",
            "telephone_number": "561-914-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10229 NW 13TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068056",
            "telephone_number": "561-914-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZI",
        "first_name": "LELAH",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3370532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.