Active NPI
Marilyn Hedlund
- Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1851356240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2080372
- Practice address
- 636 Del Prado Blvd S
Cape Coral, FL 33990-2668 - Phone
- (239) 772-6513
- NPI assigned
- Apr 19, 2006
- Last updated
- Jan 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2080372 | FL | Primary |
Addresses
Primary practice location
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Mailing address
6896 W Snowville Rd
Brecksville, OH 44141-3214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224518 | Other | FL | AMERIGROUP |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Emergency Physicians | Past | Accepting new patients | |
| All X Ray Diagnostic Services Corp | Past | Accepting new patients |
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.
-
- Clinic/Center
- Miami, FL
- NPI 1659399574
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1225093941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1851356240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6896 W SNOWVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902668",
"telephone_number": "239-772-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDLUND",
"first_name": "MARILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2080372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "224518",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.