Active NPI
Cavelline M. Martin-Darby, APRN/DNP
- Gerontology Nurse Practitioner
- Port Saint Lucie, FL
National Provider Identifier
1669924957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN9311352
- Practice address
- 10380 SW Village Center Dr Ste 193
Port Saint Lucie, FL 34987-1931 - Phone
- (772) 501-4902
- Fax
- (949) 864-3054
- NPI assigned
- Nov 2, 2016
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61470028 | WA | |
| Nurse Practitioner | 363L00000X | C-APN-0101701-C-NP | FL | |
| Nurse Practitioner | 363L00000X | AC006653 | MD | |
| Nurse Practitioner | 363L00000X | 31037 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9311352 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN9311352 | FL | Primary |
| Nurse Practitioner | 363L00000X | 235011 | AR | |
| Nurse Practitioner | 363L00000X | 12269 | CT | |
| Nurse Practitioner | 363L00000X | LP-0010621 | DE | |
| Nurse Practitioner | 363L00000X | NP95033483 | CA |
Addresses
Primary practice location
10380 SW Village Center Dr Ste 193
Port Saint Lucie, FL 34987-1931
Mailing address
10380 SW Village Center Dr Ste 193
Port Saint Lucie, FL 34987-1931
Phone (772) 501-4902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1032 E Brandon Blvd
Suite 4567
Brandon, FL 33511-5509
10730 SW 147TH PL
Miami, FL 33196-2483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12269 | CT | MD | General Practice Dentistry |
| 235011 | AR | MD | Nurse Practitioner |
| NP95033483 | CA | MD | Nurse Practitioner |
| LP-0010621 | DE | MD | Nurse Practitioner |
| C-APN-0101701-C-NP | FL | MD | Nurse Practitioner |
| AC006653 | MD | MD | Nurse Practitioner |
| 31037 | SC | MD | Nurse Practitioner |
| AP61470028 | WA | MD | Nurse Practitioner |
| 9311352 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- ms_cmart514@landmarkhealth-direct.org
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 and National Provider Directory roles.
-
- General Practice Physician
- Tacoma, WA
- NPI 1649058215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1669924957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10380 SW VILLAGE CENTER DR STE 193",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349871931",
"telephone_number": "772-501-4902",
"fax_number": "949-864-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10380 SW VILLAGE CENTER DR STE 193",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349871931",
"telephone_number": "772-501-4902",
"fax_number": "949-864-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN-DARBY",
"first_name": "CAVELLINE",
"middle_name": "M.",
"credential": "APRN/DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61470028",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "C-APN-0101701-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "AC006653",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "31037",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "9311352",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9311352",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "235011",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "12269",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0010621",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95033483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.