Active NPI
Jamie Dawn Carson, FNP-C
- Family Nurse Practitioner
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9439494
- Practice address
- 855 S Highland Ave
Clearwater, FL 33756 - Phone
- (727) 219-1833
- Fax
- (727) 330-2908
- NPI assigned
- Jan 12, 2015
- Last updated
- Sep 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0076751 | OK | |
| Family Nurse Practitioner | 363LF0000X | ARNP9439494 | FL | Primary |
Addresses
Primary practice location
855 S Highland Ave
Clearwater, FL 33756
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300
Other practice location 2
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients |
Locations
855 S Highland Ave
Clearwater, FL 33756
Phone (727) 219-1833
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
Networks
- Freedom Health HMO Network
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Specialist
- Tampa, FL
- NPI 1700393881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1053700377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 S HIGHLAND AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33756",
"telephone_number": "727-219-1833",
"fax_number": "727-330-2908"
}
],
"practiceLocations": [
{
"address_1": "302 W Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336123415",
"country_code": "US",
"telephone_number": "813-397-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "302 W Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336123415",
"country_code": "US",
"telephone_number": "813-397-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARSON",
"first_name": "JAMIE",
"middle_name": "DAWN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0076751",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9439494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.