Careecia Wallace, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN9407773 Issued in FL

Practice address

2155 N State Road 7 Ste B
Margate, FL 33063-5713

Phone

(754) 368-2586

Fax

(954) 368-8517

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• T and C Wellness Center

  • Multi-Specialty Clinic/Center
  • Margate, FL
  • NPI 1790465540
  Medicare reassignment NPD Authorized official
• Only One Hub

  dba Primus Healthcare

  • Family Medicine Physician
  • Ebensburg, PA
  • NPI 1386373041

  FL, Multi-Specialty

  Medicare reassignment NPD
• Working Nurses Healthcare, LLC

  dba Working Nurses Homecare

  • Home Health Agency
  • Margate, FL
  • NPI 1457851685
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1013617711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 N STATE ROAD 7 STE B",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635713",
            "telephone_number": "754-368-2586",
            "fax_number": "954-368-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 N STATE ROAD 7 STE B",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635713",
            "telephone_number": "754-368-2586",
            "fax_number": "954-368-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CAREECIA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9407773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diann Waldo, RN
• Walgreen Co (Walgreens #06414)
• Walgreen Co (Walgreens #03193)
• Aneil Sharif Walizada, DO
• Janice Walker
• We Care Nurse Registry,Inc
• Debra Ellen Webb, NCC, LMFT
• Steven Scott Weisel, DDS
• Jeffrey N Weiss, MD
• Scher Weiss

• Family Nurse Practitioner in Margate, FL
• Providers in Margate, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.