Active NPI
Miriam Joy Maycock-Doss, ARNP
- Nurse Practitioner
- Port St Lucie, FL
National Provider Identifier
1952831380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9287504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9287504 | FL | MD | Nurse Practitioner |
| 9287504 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlantis, FL
- NPI 1649212416
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.