Advanced Practice Nursing Services, LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

ARNP2530742 Issued in FL

Legal business name

ADVANCED PRACTICE NURSING SERVICES, LLC

Practice address

565 Memorial Cir
Ormond Beach, FL 32174-5001

Phone

(386) 310-8766

Fax

(386) 310-8770

NPI assigned

Dec 7, 2011

Last updated

Dec 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marifrances Christine GulloNPI 1942339346

Title

Owner

Phone

(386) 310-8766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria E Masferrer, MD

  • Child & Adolescent Psychiatry Physician
  • Daytona Beach, FL
  • NPI 1225121411
  Medicare reassignment NPD
• Nadia Simplice, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
  • NPI 1699131854
  Medicare reassignment NPD
• Marifrances Christine Gullo, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
  • NPI 1942339346
  Authorized official Same address or phone
• Bernavette Pamela Perry, A.R.N.P.

  • Pediatric Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1376620534
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1720356512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 MEMORIAL CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745001",
            "telephone_number": "386-310-8766",
            "fax_number": "386-310-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MEMORIAL CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745001",
            "telephone_number": "386-310-8766",
            "fax_number": "386-310-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE NURSING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "GULLO",
        "authorized_official_first_name": "MARIFRANCES",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-310-8766"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "ARNP2530742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Health Care Physical Medicine,LLC
• Advanced Heart Group P L (Advanced Cardiopulmonary and Medical Consultants)
• Advanced Manual Physical Therapy
• Advanced Pain Management Inc
• Advanced Pain Management Inc (Florida Pain Medicine)
• Advanced Therapy Clinic, L.L.C.
• Adventhealth Home Health and Hospice Inc (Adventhealth Home Care East Florida)
• Adventhealth Home Health and Hospice Inc (Adventhealth Hospice)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care - Ormond Beach)
• David Leroy Affolter, LMHC

• Prescribing (Medical) Psychologist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Prescribing (Medical) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.