Active NPI
Helene Marks, ARNP
- Family Nurse Practitioner
- St Augustine, FL
National Provider Identifier
1538229646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9451351
- Practice address
- 120 Health Park Blvd
Ste 1
St Augustine, FL 32086 - Phone
- (904) 823-3401
- Fax
- (904) 829-8649
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 30, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 158284 | MA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9451351 | FL | Primary |
Addresses
Primary practice location
120 Health Park Blvd
Ste 1
St Augustine, FL 32086
Mailing address
120 Health Park Blvd
Ste 1
St Augustine, FL 32086-5798
Phone (904) 823-3401
Other practice location 1
214 Main St
Kingston, MA 02364-1928
Phone (781) 585-2172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0712582 | Medicaid | MA |
Other names 1
- Helen Decot
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9451351 | FL | MD | Family Nurse Practitioner |
| 158284 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Past | Accepting new patients | |
| Krishma Medical Associates | Past | Accepting new patients |
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.
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- NPI 1114265634
-
- Durable Medical Equipment & Medical Supplies
- Concord, MA
- NPI 1568660058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1538229646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HEALTH PARK BLVD",
"address_2": "STE 1",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865798",
"telephone_number": "904-823-3401",
"fax_number": "904-829-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTH PARK BLVD",
"address_2": "STE 1",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "32086",
"telephone_number": "904-823-3401",
"fax_number": "904-829-8649"
}
],
"practiceLocations": [
{
"address_1": "214 Main St",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "MA",
"postal_code": "023641928",
"country_code": "US",
"telephone_number": "781-585-2172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKS",
"first_name": "HELENE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "158284",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9451351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0712582",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HELEN",
"last_name": "DECOT",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.