Individual provider Active NPI

Carolina Orozco, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1043889199
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013399 Issued in FL
Practice address
4601 N Congress Ave Ste 107
West Palm Beach, FL 33407-3381
Phone
(561) 844-4353
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11013399 FL Primary

Addresses

Primary practice location

4601 N Congress Ave Ste 107
West Palm Beach, FL 33407-3381

Mailing address

4601 N Congress Ave Ste 107
West Palm Beach, FL 33407-3381
Phone (561) 844-4353

Other practice location 1

1447 Forest Hill Blvd.
Suite 101
Wellington, FL 33414
Phone (561) 753-0001

Other identifiers 1

IdentifierTypeStateIssuer
112776500MedicaidFL

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
I20210811001099 FL Practitioner - Nurse Practitioner 3779987805 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013399FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Nov 12, 2021 Accepting new patients
PCC Medical Holdings LLC CurrentSince Jan 31, 2023 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Nov 12, 2021 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

4849 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 202-6064

4849 Lake Worth Rd
Ste 346
Greenacres, FL 33463

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

3375 Burns Rd
Ste 101
West Palm Beach, FL 33410
Phone (561) 622-3618

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

415 US Highway 1
Ste D
West Palm Beach, FL 33403
Phone (561) 842-5900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBCDA/Endpoint/IDBCDA
  • Direct secure messaging: carolina.orozco.1@32578.direct.athenahealth.com

Organizations & group practices 4

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1043889199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-844-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-844-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 Forest Hill Blvd.",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "33414",
            "country_code": "US",
            "telephone_number": "561-753-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "CAROLINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112776500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.