Individual provider Active NPI

Marcelline L Girlie, DNP, ARNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1730432899
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9350985 Issued in FL
Practice address
2222 Ocoee Apopka Rd Ste 106
Ocoee, FL 34761-5344
Phone
(407) 698-5092
Fax
(407) 550-3790
NPI assigned
Oct 25, 2012
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9350985 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9350985 FL Primary

Addresses

Primary practice location

2222 Ocoee Apopka Rd Ste 106
Ocoee, FL 34761-5344

Mailing address

2222 Ocoee Apopka Rd Ste 106
Ocoee, FL 34761-5344
Phone (239) 357-1945

Other identifiers 1

IdentifierTypeStateIssuer
008955600MedicaidFL

Other names 1

  • Dr. Marcelline Lazarre Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150604002097 FL Practitioner - Nurse Practitioner 6800117680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9350985FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Mar 2, 2026 Accepting new patients
Vivid Minds Mental Care Psychiatric/Mental Health CurrentSince Feb 6, 2022 Accepting new patients

Locations

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

2222 Ocoee Apopka Rd
Ste 106
Ocoee, FL 34761
Phone (407) 698-5092

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.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1730432899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 OCOEE APOPKA RD STE 106",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615344",
            "telephone_number": "239-357-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 OCOEE APOPKA RD STE 106",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615344",
            "telephone_number": "407-698-5092",
            "fax_number": "407-550-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRLIE",
        "first_name": "MARCELLINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP,  ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9350985",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9350985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008955600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLINE",
            "last_name": "LAZARRE",
            "prefix": "DR.",
            "credential": "DNP, ARNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.