ANN MARIE RAIKES HARTLEY ARNP NPI 1225385818

NPI Information

NPI: 1225385818
Provider Name: ANN MARIE RAIKES HARTLEY, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3185 W VINE ST
KISSIMMEE, FL
ZIP 34741
Phone: (407) 569-1260
Get Directions

Ann Marie Raikes Hartley, ARNP is an adult health nurse practitioner in Kissimmee, FL with 12 years of experience. Ann Marie Raikes Hartley, ARNP NPI is 1225385818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3185 W VINE ST
KISSIMMEE, FL
ZIP 34741-738
Phone: (407) 569-1260
Fax: (833) 963-0109

The NPI 1225385818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2012 and was last updated on 6/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP3179612	FLORIDA	No
2	363LA2200X	Nurse Practitioner	Adult Health	ARNP3179612	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006434700	MEDICAID	FLORIDA
2	YOE13	OTHER	FLORIDA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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