Individual provider Active NPI

Carolyn De Pasquale Caldwell, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1013946425
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1135742 Issued in FL
Practice address
13280 SW 232ND St
Miami, FL 33170-7304
Phone
(305) 257-3601
Fax
(305) 257-3602
NPI assigned
Jun 30, 2006
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1135742 FL Primary

Addresses

Primary practice location

13280 SW 232ND St
Miami, FL 33170-7304

Mailing address

13280 SW 232ND St
Miami, FL 33170-7304
Phone (305) 257-3601

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
I20061107000148 FL Practitioner - Nurse Practitioner 6002813953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP1135742FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Criticare Inc. Nurse Practitioner CurrentSince Apr 1, 2011 Accepting new patients
Marshall Amaya & Anton P L Nurse Practitioner Past Accepting new patients

Locations

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1013946425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 SW 232ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707304",
            "telephone_number": "305-257-3601",
            "fax_number": "305-257-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 SW 232ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707304",
            "telephone_number": "305-257-3601",
            "fax_number": "305-257-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CAROLYN",
        "middle_name": "DE PASQUALE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1135742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.