Individual provider Active NPI

Marie Carmen Ternival

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1629425780
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9195069 Issued in FL
Practice address
8513 NW 47TH St
Coral Springs, FL 33067-3403
Phone
(954) 237-9035
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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 9195069 FL Primary

Addresses

Primary practice location

8513 NW 47TH St
Coral Springs, FL 33067-3403

Mailing address

8513 NW 47TH St
Coral Springs, FL 33067-3403
Phone (954) 237-9035

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9195069FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Consultants LLC PastSince Aug 10, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1629425780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8513 NW 47TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673403",
            "telephone_number": "954-237-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8513 NW 47TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673403",
            "telephone_number": "954-237-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERNIVAL",
        "first_name": "MARIE",
        "middle_name": "CARMEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9195069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.