NPIMap

Organization Active NPI

Mobile Medical Associates, P.L.

  • Family Nurse Practitioner
  • Palm City, FL
National Provider Identifier
1932496783
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MOBILE MEDICAL ASSOCIATES, P.L.
Practice address
4181 SW High Meadows Ave
Palm City, FL 34990-3725
Phone
(772) 221-7620
Fax
(772) 221-9903
NPI assigned
Jun 30, 2011
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Laurie Grissman McCuen, ARNP, DNPNPI 1912099771
Title
President
Phone
(772) 221-7620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

4181 SW High Meadows Ave
Palm City, FL 34990-3725

Mailing address

4181 SW High Meadows Ave
Palm City, FL 34990-3725
Phone (772) 221-7620

National Provider Directory

National Provider Directory

Locations

938 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 221-7620

938 SW Martin Downs Blvd
Ste 200
Palm City, FL 34990

816 SE Ocean Blvd
Ste B
Stuart, FL 34994
Phone (772) 219-9355

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1932496783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 SW HIGH MEADOWS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903725",
            "telephone_number": "772-221-7620",
            "fax_number": "772-221-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 SW HIGH MEADOWS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903725",
            "telephone_number": "772-221-7620",
            "fax_number": "772-221-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL ASSOCIATES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "MCCUEN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "GRISSMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-221-7620",
        "authorized_official_credential": "ARNP, DNP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.