Mariannette Plaza, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9408302 Issued in FL

Practice address

127 Ridge Center Dr
Davenport, FL 33837-6401

Phone

(863) 421-7400

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Health Holdings Company LLC

  • Primary Care Clinic/Center
  • Coral Gables, FL
  • NPI 1336583707
  Medicare reassignment NPD
• Palm Medical Center Lakeland LLC

  • Clinic/Center
  • Lakeland, FL
  • NPI 1437650579
  Medicare reassignment NPD
• Palm Medical Center Hialeah, LLC

  • Clinic/Center
  • Hialeah, FL
  • NPI 1306347661
  NPD
• Palm Medical Centers

  • Clinic/Center
  • Dade City, FL
  • NPI 1952039562
  NPD

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1477535144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9454",
            "fax_number": "305-442-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RIDGE CENTER DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376401",
            "telephone_number": "863-421-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338445602",
            "country_code": "US",
            "telephone_number": "863-547-0755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAZA",
        "first_name": "MARIANNETTE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9408302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102182000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlon J Pinkney
• Corlett Pinnock-Myers
• Jessica Renee Pinson, APRN
• Randy Pitts, DC
• Play Pals Therapy
• Jose Xavier Pluguez, MD
• Atherlemy Pluviose, FNP
• Vikram Poonia, APRN
• Tom Porter, MD
• Positively U, Inc

• Nurse Practitioner in Davenport, FL
• Providers in Davenport, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.