MR. JERRY L MARLIN (NPI# 1689997397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689997397 |
| Entity Type | Individual |
| Full Name | MR. JERRY L MARLIN |
| Credential | ARNP |
| Practice Address |
2000 Hartman Rd Ste 1 Fort Pierce FL 34947-4412 |
| Practice Telephone | 7724651170 |
| Practice Fax Number | 7724651171 |
| Mailing Telephone | 7724651170 |
| Mailing Fax Number | 7724651171 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2018-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP3274792 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 HARTMAN RD STE 1 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672164 | Samerah G Razuman | Internal Medicine | 2000 Hartman Rd Ste 1, Fort Pierce, FL 34947-4412 | 2006-05-04 |
| 1922645324 | Treasure Coast Nephrology LLC | Internal Medicine | 2000 Hartman Rd Ste 1, Fort Pierce, FL 34947-4413 | 2019-12-04 |
| 1750803888 | Samerah Razuman Md Pllc | Internal Medicine | 2000 Hartman Rd Ste 1, Fort Pierce, FL 34947-4412 | 2017-07-11 |
| 1184062069 | Chris Jensen | Nurse Practitioner | 2000 Hartman Rd Ste 1, Fort Pierce, FL 34947-4412 | 2013-06-12 |
| 1114178779 | Mohammad Izhar | Internal Medicine | 2000 Hartman Rd Ste 1, Fort Pierce, FL 34947-4413 | 2008-10-01 |
| 1326148198 | B. Aurora F. Tomita | Internal Medicine | 2000 Hartman Rd Ste 1, Fort Pierce, FL 34947-4412 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053777318 | Natalie Gordon | Nurse Practitioner | 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950-4800 | 2016-01-01 |
| 1174965438 | Barbie Brunet | Nurse Practitioner | 2504 Acorn St Ste A, Fort Pierce, FL 34947-4746 | 2013-07-26 |
| 1265923668 | Sara Vasquez | Nurse Practitioner | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2018-05-22 |
| 1528585304 | Rebecca C Beyer | Nurse Practitioner | 2000 Nebraska Ave, Fort Pierce, FL 34950-4833 | 2017-08-23 |
| 1396267373 | John A Rhoades | Nurse Practitioner | 2000 Nebraska Ave, Fort Pierce, FL 34950-4833 | 2017-07-12 |
| 1871924506 | Iva Toussaint-zollicoffer | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2013-12-05 |
| 1295165835 | Mychau Diggins | Nurse Practitioner | 1900 Nebraska Ave, Suite 9, Fort Pierce, FL 34950-4837 | 2013-11-18 |
| 1760763833 | Cathy Lynn Smith | Nurse Practitioner | 725 N Us Highway 1, Fort Pierce, FL 34950-9125 | 2011-09-02 |
| 1518111012 | Julie Diane Clute | Nurse Practitioner | 2900 W Midway Rd, Fort Pierce, FL 34981-4955 | 2008-11-11 |
| 1740439959 | Catherine Nelson Rohm | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2008-09-11 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.