Individual provider Active NPI

Miriam Joy Maycock-Doss, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1952831380
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9287504 Issued in FL
Practice address
1700 SE Hillmoor Dr Ste 407
Port St Lucie, FL 34952-7561
Phone
(772) 335-9600
Fax
(772) 398-7971
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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 9287504 FL
Nurse Practitioner 363L00000X ARNP9287504 FL Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr Ste 407
Port St Lucie, FL 34952-7561

Mailing address

1700 SE Hillmoor Dr Ste 407
Port St Lucie, FL 34952-7561
Phone (772) 335-9600

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

State licenses

LicenseStateTypeSpecialty
ARNP9287504FLMDNurse Practitioner
9287504FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1952831380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 407",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527561",
            "telephone_number": "772-335-9600",
            "fax_number": "772-398-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 407",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527561",
            "telephone_number": "772-335-9600",
            "fax_number": "772-398-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCOCK-DOSS",
        "first_name": "MIRIAM",
        "middle_name": "JOY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9287504",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9287504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.