Active NPI
Cecily Monroe, ARNP
- Primary Care Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1477908481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- ARNP9246077
- Practice address
- 6360 Techster Blvd Ste 1
Fort Myers, FL 33966 - Phone
- (239) 223-2751
- NPI assigned
- Apr 27, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN175772 | GA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9246077 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9246077 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | RN175772 | GA | |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9246077 | FL | Primary |
Addresses
Primary practice location
6360 Techster Blvd Ste 1
Fort Myers, FL 33966
Mailing address
6360 Techster Blvd Ste 1
Fort Myers, FL 33966-4805
Phone (239) 223-2751
Other practice location 1
3030 McEver Rd
Gainesville, GA 30504-5579
Phone (678) 450-0747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810553137 | Other | GA | TAX ID |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9246077 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN175772 | GA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1477908481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664805",
"telephone_number": "239-223-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33966",
"telephone_number": "239-223-2751"
}
],
"practiceLocations": [
{
"address_1": "3030 McEver Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305045579",
"country_code": "US",
"telephone_number": "678-450-0747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONROE",
"first_name": "CECILY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN175772",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9246077",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9246077",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN175772",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9246077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "810553137",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.