Active NPI
Maricruz Davis, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Indialantic, FL
National Provider Identifier
1699144691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1699144691
- Practice address
- 3539 Poseidon Way
Indialantic, FL 32903-1843 - Phone
- (703) 867-8343
- NPI assigned
- Sep 20, 2015
- Last updated
- Jul 7, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95002592 | CA | |
| Family Nurse Practitioner | 363LF0000X | APRN11019831 | FL | |
| Family Nurse Practitioner | 363LF0000X | 1699144691 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 240270 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 59189 | ID | |
| Family Nurse Practitioner | 363LF0000X | 0024172360 | VA |
Addresses
Primary practice location
3539 Poseidon Way
Indialantic, FL 32903-1843
Mailing address
3539 Poseidon Way
Indialantic, FL 32903-1843
Phone (703) 867-8343
Other names 1
- Maricruz Hubbarms
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240270 | AZ | MD | Family Nurse Practitioner |
| 95002592 | CA | MD | Family Nurse Practitioner |
| 1699144691 | FL | MD | Family Nurse Practitioner |
| APRN11019831 | FL | MD | Family Nurse Practitioner |
| 59189 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carilion Clinic Family Medicine
- Rural Health Clinic/Center
- Buchanan, VA
- NPI 1073138996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1699144691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3539 POSEIDON WAY",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329031843",
"telephone_number": "703-867-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3539 POSEIDON WAY",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329031843",
"telephone_number": "703-867-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARICRUZ",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002592",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11019831",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "1699144691",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "240270",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "59189",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172360",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARICRUZ",
"last_name": "HUBBARMS",
"credential": "APRN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.