Individual provider Active NPI

Mary Philip, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1467831040
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2988912 Issued in FL
Practice address
13203 Chattanooga LN
Orlando, FL 32837-4005
Phone
(407) 232-5641
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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 2988912 FL Primary

Addresses

Primary practice location

13203 Chattanooga LN
Orlando, FL 32837-4005

Mailing address

13203 Chattanooga LN
Orlando, FL 32837-4005
Phone (407) 232-5641

Other names 1

  • Ms. Mary Varkey Varampathu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160204000037 FL Practitioner - Nurse Practitioner 8325342876 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2988912FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Primary Care P L C CurrentSince Sep 1, 2015 Accepting new patients
Osceola Cancer Center CurrentSince Jun 1, 2019 Accepting new patients

Locations

737 W Oak St
Kissimmee, FL 34741
Phone (407) 279-0334

7345 W Sand Lake Rd
Ste 206
Orlando, FL 32819
Phone (407) 248-8862

7345 W Sand Lake Rd
Ste 222
Orlando, FL 32819
Phone (407) 248-8862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGCA

Organizations & group practices 2

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1467831040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 CHATTANOOGA LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374005",
            "telephone_number": "407-232-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 CHATTANOOGA LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374005",
            "telephone_number": "407-232-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2988912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VARAMPATHU",
            "middle_name": "VARKEY",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.