Active NPI
Carly Delbert Fioramanti, APRN
- Adult Health Nurse Practitioner
- Lake Placid, FL
National Provider Identifier
1003274473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9302815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016664500 | Medicaid | FL | |
| DQEAD | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Carly Beth Delbert
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9302815 | FL | MD | Adult Health Nurse Practitioner |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Josefyk DNP Aprn PA | Current | Accepting new patients | |
| Care Center of Lake Placid | Adult Health | Past | Accepting new patients |
Locations
13 N Main Ave
Lake Placid, FL 33852
Phone (863) 659-1079
Networks
- Freedom Health HMO Network
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Lake Placid, FL
- NPI 1942089453
-
- Adult Health Nurse Practitioner
- Lake Placid, FL
- NPI 1750773321
Adult Health
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.