DR. MARY'S PLACE
NPI 1164751707
Nurse Practitioner - Pediatrics in Jacksonville, FL

NPI Status: Active since December 10, 2009

Contact Information

4051 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 393-4700
Fax: (904) 493-9700

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  • Organization
  • Nurse Practitioner
  • Pediatrics

About DR. MARY'S PLACE

This page provides the complete NPI Profile along with additional information for Dr. Mary's Place, a provider established in Jacksonville, Florida operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1164751707 assigned on December 2009. The practitioner's primary taxonomy code is 363LP0200X with license number ARNP9271693 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Cara Marie D'amico C-pnp, Arnp (Pediatric Arnp)

NPI
1164751707
Provider Name
DR. MARY'S PLACE
Entity Type
Organization
Location Address
4051 ATLANTIC BLVD JACKSONVILLE, FL 32207
Location Phone
(904) 393-4700
Location Fax
(904) 493-9700
Mailing Address
4051 ATLANTIC BLVD JACKSONVILLE, FL 32207
Mailing Phone
(904) 393-4700
Mailing Fax
(904) 493-9700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2009
Last Update Date
04-29-2011
Code Navigator

A nurse practitioner (NP) like Dr. Mary's Place is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ARNP9271693
License State
FL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CARA MARIE D'AMICO C-PNP, ARNP

Authorized Official Title
PEDIATRIC ARNP
Authorized Official Phone
(904) 642-6100

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164751707, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 2 + 7 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164751707.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Specialist
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Legal Medicine
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Pediatrics
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Physician Assistant
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164751707, enumerated as an "organization" on December 10, 2009.

The provider is located at 4051 ATLANTIC BLVD JACKSONVILLE, FL 32207 and the phone number is (904) 393-4700.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.