Community Choice Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COMMUNITY CHOICE HEALTHCARE LLC

Practice address

1042 SW McCall Rd
Port Saint Lucie, FL 34953-3618

Phone

(772) 207-5178

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Arlene Marie Morrison, APRNNPI 1992893952

Title

President

Phone

(954) 254-4952

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arlene Marie Morrison, ARNP

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1992893952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1659867232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 SW MCCALL RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533618",
            "telephone_number": "954-254-4952",
            "fax_number": "772-207-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 SW MCCALL RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533618",
            "telephone_number": "772-207-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHOICE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-01-19",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-254-4952",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP3112262",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.