MARCIA B BASS (NPI# 1790008191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790008191 |
| Entity Type | Individual |
| Full Name | MARCIA B BASS |
| Credential | ARNP |
| Practice Address |
1702 S Jefferson St Perry FL 32348 |
| Mailing Address |
1211 N Center St Perry FL 32347-2037 |
| Practice Telephone | 8505842141 |
| Practice Fax Number | 8508382140 |
| Mailing Telephone | 8505842141 |
| Mailing Fax Number | 8508382140 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2012-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9176944 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001943000 | 05 |
| Street Address |
1702 S JEFFERSON ST |
| City | PERRY |
| State | FL |
| Zip Code | 32348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205894425 | Ronald Emerick Jr. | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-05-04 |
| 1407314289 | Felicia Thomas | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-03-11 |
| 1902362759 | Melissa Harris | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-02-18 |
| 1811447824 | Little Pine Pediatrics, Pllc | Clinic/Center | 1702 S Jefferson St, Perry, FL 32348-5611 | 2016-10-13 |
| 1205203742 | Brittany Hobbs Bishop | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2015-09-01 |
| 1043624000 | Jessica Anne Raines | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2014-06-18 |
| 1356645097 | Linda Gail Berry | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2011-01-10 |
| 1669700811 | Venette Pierre | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-11-30 |
| 1376787580 | Angela B Culpepper | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-05-01 |
| 1376784702 | Little Pine Pediatrics, Pllc | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328099 | Ashley Wambolt Mccormick | Registered Nurse | 1706 S. Jefferson, Perry, FL 32348 | 2013-12-12 |
| 1053692293 | Rocky Mountain Holdings LLC | Ambulance | 301 Industrial Park Dr, Perry, FL 32348 | 2011-09-01 |
| 1285959775 | Darrin G Ward | Acupuncturist | 1708 S. Byron Butler Pkwy, Perry, FL 32348 | 2010-03-29 |
| 1568569937 | Apalachee Center Inc | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2006-09-20 |
| 1376645648 | Wilburn Hiram Peacock Jr. | Pharmacist | 2057 W Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1932202272 | Horace Michael Knowles | Pharmacist | 2057 W. Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1881110047 | Dorothy Tucker | Nurse's Aide | 1106 North Ave, Perry, FL 32348 | 2017-08-19 |
| 1780027946 | Patricia Ngozi Kalu | Nurse Practitioner | 8501 Hampton Springs Rd, Perry, FL 32348 | 2013-04-08 |
| 1760722771 | Disc Village, Inc. | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2013-02-28 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| Find all providers in zip 32348 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209835 | Alyssa Megan Taylor | Nurse Practitioner | 277 Perry Pkwy Ste C, Perry, GA 31069-8428 | 2018-06-15 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1093197667 | Dulcie Yelverton | Nurse Practitioner | 1762 Morgan Whiddon Rd, Perry, FL 32347-2145 | 2015-06-19 |
| 1215125372 | Plainsmen Health Services Inc. | Nurse Practitioner | 14000 23rd St, Suite 1a, Perry, KS 66073-4046 | 2007-10-12 |
| 1083652259 | Nunnie Emery | Nurse Practitioner | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-02 |
| 1609413731 | Ashlee Marie Morman | Nurse Practitioner | 616 10th St, Perry, IA 50220-2221 | 2019-12-09 |
| 1134761125 | Sarah Coxwell Harris | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069-2947 | 2019-10-11 |
| 1467013466 | Macy Ely | Nurse Practitioner | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2019-06-21 |
| 1811456189 | Kristen Taylor Bland | Nurse Practitioner | 100 Plantation Rd, Perry, FL 32348-6000 | 2019-03-17 |
| Find all providers in PERRY | ||||
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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.