Marietta Goodliff, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340601 Issued in NY

Practice address

1211 Jacaranda Blvd Unit 2
Venice, FL 34292-4520

Phone

(941) 483-3377

Fax

(941) 483-4687

NPI assigned

May 25, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in NY, FL2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598
  Medicare reassignment NPD
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Medicare reassignment NPD
• Strong Medical Group

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1184664948
  Medicare reassignment NPD
• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• Florida Medical Specialists, LLC

  • Family Medicine Physician
  • North Port, FL
  • NPI 1013550102
  NPD
• Florida Medical Specialists LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1801244397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 JACARANDA BLVD UNIT 2",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "941-483-3377",
            "fax_number": "941-483-4687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 Aidan Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342874934",
            "country_code": "US",
            "telephone_number": "941-423-1111",
            "fax_number": "941-423-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODLIFF",
        "first_name": "MARIETTA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSES",
            "identifier": "G341546706010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul W. Gonter, M.D.
• Julio Gonzalez, MD
• Kelly Gonzalez, N.P.
• Maria Linda Gonzalez, PA
• Sue Ellen Good
• David J Goodman, RPH.
• Barry M Gordon, M.D.
• Charles S Gordon, M.D.
• German Gorrita
• Gpsi LLC

• Family Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.