Marirose David, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173779 Issued in VA

Practice address

5249 Olde Towne Rd
Williamsburg, VA 23188-8111

Phone

(757) 259-3258

NPI assigned

Aug 23, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Williamsburg Area Medical Assistance Corporation

  dba Olde Towne Medical Center

  • Rural Health Clinic/Center
  • Williamsburg, VA
  • NPI 1639137078
  NPD (past)
• Williamsburg Area Medical Assistance Corporation

  dba Olde Towne Medical Center

  • Public Health Dentistry
  • Williamsburg, VA
  • NPI 1871583393
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1790230456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARIROSE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "0024173779",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly K Daniels, CCC-SLP
• James Ray Daniels Jr., MD
• Christian Darnell
• Jayne E Darnell, CSFA
• Jolin Daughety
• Gia Davila, LCSW, CDP
• Andrew Rollin Davis, M.D.
• Brooke Lael Davis, NP
• Charles Davis III
• Julianne Davison, LPC

• Family Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.