Individual provider Active NPI

Debra A Demaria

  • Primary Care Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1508059049
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9338988 Issued in FL
Practice address
8614 E State Road 70
Ste 200
Bradenton, FL 34202-3710
Phone
(941) 727-1243
NPI assigned
Aug 18, 2007
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9338988 FL Primary

Addresses

Primary practice location

8614 E State Road 70
Ste 200
Bradenton, FL 34202-3710

Mailing address

8614 E State Road 70
Ste 200
Bradenton, FL 34202-3710
Phone (941) 727-1243

Other names 1

  • Prof. Debra A Demaria Professional 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
I20130313000115 FL Practitioner - Nurse Practitioner 2365461597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Associates, LLC CurrentSince Jul 15, 2015 Accepting new patients

Locations

1600 Center Rd
Venice, FL 34292
Phone (941) 217-7193

Organizations & group practices 1

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": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1508059049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 E STATE ROAD 70",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-727-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 E STATE ROAD 70",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-727-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIA",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Prof.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9338988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "DEMARIA",
            "middle_name": "A",
            "prefix": "PROF.",
            "credential": "APN-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.