Individual provider Active NPI

Cavelline M. Martin-Darby, APRN/DNP

  • Gerontology Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1669924957
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9311352 Issued in FL
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

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260423000663 DC Practitioner - Nurse Practitioner 9739548850 Reassigns benefits to 1 organization
I20260429002396 VA Practitioner - Nurse Practitioner 9739548850 Reassigns benefits to 1 organization
I20260430001543 WA Practitioner - Nurse Practitioner 9739548850 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12269CTMDGeneral Practice Dentistry
235011ARMDNurse Practitioner
NP95033483CAMDNurse Practitioner
LP-0010621DEMDNurse Practitioner
C-APN-0101701-C-NPFLMDNurse Practitioner
AC006653MDMDNurse Practitioner
31037SCMDNurse Practitioner
AP61470028WAMDNurse Practitioner
9311352FLMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.