Active NPI
Maryann Vandermark, APN
- General Practice Registered Nurse
- Miami, FL
National Provider Identifier
1992809578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- ARNP9295000
- Practice address
- 4960 SW 72ND Ave
Suite 400
Miami, FL 33155-5544 - Phone
- (561) 688-4537
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | ARNP9295000 | FL | Primary |
Addresses
Primary practice location
4960 SW 72ND Ave
Suite 400
Miami, FL 33155-5544
Mailing address
1110 N Riverside Drive
Apt 14
Pompano Beach, FL 33062
Phone (732) 604-6541
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9295000 | FL | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leeds Emergency Physicians | 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.
-
- Emergency Medicine Physician
- Atlantic City, NJ
- NPI 1326248667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1992809578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N RIVERSIDE DRIVE",
"address_2": "APT 14",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33062",
"telephone_number": "732-604-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE",
"address_2": "SUITE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555544",
"telephone_number": "561-688-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMARK",
"first_name": "MARYANN",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "ARNP9295000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.