Individual provider Active NPI

Carly Delbert Fioramanti, APRN

  • Adult Health Nurse Practitioner
  • Lake Placid, FL
National Provider Identifier
1003274473
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9302815 Issued in FL
Practice address
13 N Main Ave
Lake Placid, FL 33852-2603
Phone
(863) 659-1079
Fax
(863) 659-1317
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9302815 FL Primary

Addresses

Primary practice location

13 N Main Ave
Lake Placid, FL 33852-2603

Mailing address

276 S Huntley Dr
Lake Placid, FL 33852-6978

Other practice location 1

2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 974-2201

Other identifiers 2

IdentifierTypeStateIssuer
016664500MedicaidFL
DQEADOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Carly Beth Delbert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdelbert110924@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9302815FLMDAdult Health Nurse Practitioner

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Mary Josefyk DNP Aprn PA CurrentSince Oct 1, 2023 Accepting new patients
Care Center of Lake Placid Adult Health PastSince Feb 23, 2015 Accepting new patients

Locations

13 N Main Ave
Lake Placid, FL 33852
Phone (863) 659-1079

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cdelbert110924@direct.tgh.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1003274473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 S HUNTLEY DR",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338526978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N MAIN AVE",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338522603",
            "telephone_number": "863-659-1079",
            "fax_number": "863-659-1317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063603",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIORAMANTI",
        "first_name": "CARLY",
        "middle_name": "DELBERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9302815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016664500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DQEAD",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdelbert110924@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "DELBERT",
            "middle_name": "BETH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.