MR. LUCAS MARLATT (NPI# 1922484104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922484104 |
| Entity Type | Individual |
| Full Name | MR. LUCAS MARLATT |
| Credential | ARNP |
| Practice Address |
110 Longwood Ave Rockledge FL 32955-2828 |
| Mailing Address |
302 King Neptune Ln Cape Canaveral FL 32920-5139 |
| Practice Telephone | 3216362211 |
| Mailing Telephone | 3215441580 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9349022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 LONGWOOD AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192244 | Wuesthoff Emergency Physicians Pa | Emergency Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2005-05-31 |
| 1962011809 | Sydney Bovender | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2020-07-27 |
| 1235663899 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-20 |
| 1437682127 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-10 |
| 1306200522 | Rockledge Emergency Group LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-13 |
| 1538523295 | Rockledge Physician Services, LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-08 |
| 1497111983 | Infectious Diseases Specialist of Brevard LLC | Internal Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-01-13 |
| 1679943740 | John Wesley Rothwell IIi | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-10-02 |
| 1447631049 | Ioana Workman | Pharmacist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-06-09 |
| 1972982148 | Heather Bennett | Registered Nurse | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588292205 | Dora Helene Dellatorre | Nurse Practitioner | 2231 Bridgeport Cir, Rockledge, FL 32955-4345 | 2020-03-29 |
| 1982175030 | Ashley Ann Kalin | Nurse Practitioner | 3628 Imperata Dr, Rockledge, FL 32955-6093 | 2018-12-16 |
| 1588150320 | Carolyn Anne Frank | Nurse Practitioner | 5409 Duskywing Dr, Rockledge, FL 32955-6081 | 2018-07-05 |
| 1285143131 | Lindsey Buescher Witzel | Nurse Practitioner | 6420 3rd St Ste 104, Rockledge, FL 32955-5788 | 2017-09-22 |
| 1245624022 | Rachel Hoyme | Nurse Practitioner | 1880 Murrell Rd, Apt G26, Rockledge, FL 32955-3280 | 2015-03-19 |
| 1932490505 | Heidi Lynn Shaw | Nurse Practitioner | 2025 Murrell Road, Rockledge, FL 32955 | 2011-04-29 |
| 1679743652 | Maureen M Richards | Nurse Practitioner | 5302 Picardy Court, Rockledge, FL 32955 | 2008-03-06 |
| 1942361902 | Lisa Downs | Nurse Practitioner | 62 Jarrett Ave, Rockledge, PA 19046-4221 | 2006-12-13 |
| 1447898739 | Alison Badders | Nurse Practitioner | 1950 Us Highway 1, Rockledge, FL 32955-3763 | 2019-12-17 |
| 1013481050 | Christy Lynne Powell | Nurse Practitioner | 220 Barton Blvd Unit C14, Rockledge, FL 32955-2742 | 2019-01-13 |
| Find all providers in ROCKLEDGE | ||||
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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.