Active NPI
Marcia L Roy, ARNP
- Pediatric Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1508805144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP 681882
- Practice address
- 501 6TH Ave S
St Petersburg, FL 33701-4634 - Phone
- (727) 767-8181
- Fax
- (727) 767-8030
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP681882 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | ARNP 681882 | FL | Primary |
Addresses
Primary practice location
501 6TH Ave S
St Petersburg, FL 33701-4634
Mailing address
501 6TH Ave South
St. Petersburg, FL 33701-4804
Phone (727) 767-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305851400 | Medicaid | FL |
Other names 1
- Marcia L Podolsky
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP681882 | FL | MD | Nurse Practitioner |
| ARNP 681882 | FL | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- mroy732732@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1508805144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVE SOUTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181",
"fax_number": "727-767-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-8181",
"fax_number": "727-767-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "MARCIA",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP681882",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 681882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305851400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIA",
"last_name": "PODOLSKY",
"middle_name": "L",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.