Individual provider Active NPI

Marla Seidelman Bishop, ARNP

  • Family Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1588164693
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9356282 Issued in FL
Practice address
3581 S Highlands Ave
Sebring, FL 33870-5410
Phone
(863) 385-5129
NPI assigned
Feb 15, 2018
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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 9356282 FL Primary

Addresses

Primary practice location

3581 S Highlands Ave
Sebring, FL 33870-5410

Mailing address

3581 S Highlands Ave
Sebring, FL 33870-5410
Phone (863) 385-5129

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
I20180606002299 FL Practitioner - Nurse Practitioner 1951666353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thakkar Patel and Avalos MD's LLCGroup PAC ID 5294755617, 14 clinicians

Practice addresses (Care Compare)

1009 Sebring Pkwy
Suite 101
Sebring, FL 33870-1616
Phone (863) 385-5179

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9356282FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thakkar Patel & Avalos MD's LLC CurrentSince May 2, 2018 Accepting new patients
Thakkar Anesthesia Associates PA Past Accepting new patients

Locations

1009 Sebring Pkwy
Sebring, FL 33870

1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1588164693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705410",
            "telephone_number": "863-385-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705410",
            "telephone_number": "863-385-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARLA",
        "middle_name": "SEIDELMAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9356282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.