Active NPI
Marta Lucia Prupas, FNP
- Nurse Practitioner
- Panama City, FL
National Provider Identifier
1669442190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9217904
- Practice address
- 100 Doctors Dr Ste B
Panama City, FL 32405-7609 - Phone
- (850) 872-1300
- NPI assigned
- Jan 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9217904 | FL | Primary |
Addresses
Primary practice location
100 Doctors Dr Ste B
Panama City, FL 32405-7609
Mailing address
100 Doctors Dr Ste B
Panama City, FL 32405-7609
Phone (850) 381-1310
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9217904 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates | Past | Accepting new patients | |
| Urology Associates of New River Valley PC | 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.
-
- Diagnostic Radiology Physician
- Richlands, VA
- NPI 1114012671
-
- Urology Physician
- Christiansburg, VA
- NPI 1508889775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669442190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DOCTORS DR STE B",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057609",
"telephone_number": "850-381-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOCTORS DR STE B",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057609",
"telephone_number": "850-872-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUPAS",
"first_name": "MARTA",
"middle_name": "LUCIA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9217904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Providence Medical Transportation LLC
- Linda P Prowse
- Bryan Pruess, ARNP
- Heather Jean Pruett, COTA/L
- Pruitthealth - Panama City, LLC (PruittHealth - Panama City)
- Publix Super Markets Inc (Publix Pharmacy #0481)
- Publix Super Markets, Inc. (Publix Pharmacy #2034)
- Publix Super Markets, Inc. (Publix Pharmacy #1875)
- Virginia K Pullen, PA-C
- Anita Purdy, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.