Individual provider Active NPI

Carine Pierre

  • Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1003362278
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008779 Issued in FL
Practice address
10013 Water Works LN
Riverview, FL 33578-5304
Phone
(813) 252-1775
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9301135 FL
Nurse Practitioner 363L00000X APRN11008779 FL Primary

Addresses

Primary practice location

10013 Water Works LN
Riverview, FL 33578-5304

Mailing address

12308 Gilmerton Mist LN
Riverview, FL 33579-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000902 FL Practitioner - Nurse Practitioner 9638570047 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9301135FLMDRegistered Nurse
APRN11008779FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 1, 2021 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients

Locations

6611 Orion Dr
Ste 103
Fort Myers, FL 33912

221 Greenwich Cir
Ste 103
Jupiter, FL 33458
Phone (561) 427-6550

13550 SW 120th St
Ste 510
Miami, FL 33186

341 Bullard Pkwy
Ste Ab
Temple Terrace, FL 33617

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24851/brand/1/csg/1/fhir/r4

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1003362278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 GILMERTON MIST LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10013 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785304",
            "telephone_number": "813-252-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "CARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9301135",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.