Individual provider Active NPI

Beth Ann Malave, ARNP

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1548562440
Registry record updated Nov 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9205833 Issued in FL
Practice address
3037 Landover Blvd
Spring Hill, FL 34608-7260
Phone
(352) 340-5913
NPI assigned
Nov 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9205833 FL Primary

Addresses

Primary practice location

3037 Landover Blvd
Spring Hill, FL 34608-7260

Mailing address

5112 Secretariat Run
Spring Hill, FL 34609-0336
Phone (352) 428-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000446 FL Practitioner - Nurse Practitioner 6406035625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9205833FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Emergency Physicians, LLC CurrentSince Apr 1, 2019 Accepting new patients
Cameron M McCane DC PA CurrentSince Dec 20, 2010 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Feb 9, 2020 Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients

Locations

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

3037 Landover Blvd
Spring Hill, FL 34608
Phone (352) 340-5913

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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": "1290902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290902400000",
    "number": "1548562440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 SECRETARIAT RUN",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090336",
            "telephone_number": "352-428-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 LANDOVER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346087260",
            "telephone_number": "352-340-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-28",
        "last_updated": "2010-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9205833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.