Active NPI
Carly Angele Farcy, RN
- Emergency Registered Nurse
- Naples, FL
National Provider Identifier
1063076784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- RN9363104
- Practice address
- 3283 Potomac CT
Naples, FL 34120-4473 - Phone
- (239) 821-4594
- NPI assigned
- Apr 29, 2019
- Last updated
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN9363104 | FL | Primary |
Addresses
Primary practice location
3283 Potomac CT
Naples, FL 34120-4473
Mailing address
3283 Potomac CT
Naples, FL 34120-4473
Phone (239) 821-4594
Other practice location 1
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN9363104 | Other | FL | DEPARTMENT OF HEALTH-FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9363104 | FL | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1063076784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3283 POTOMAC CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341204473",
"telephone_number": "239-821-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3283 POTOMAC CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341204473",
"telephone_number": "239-821-4594"
}
],
"practiceLocations": [
{
"address_1": "7050 Gall Blvd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335411347",
"country_code": "US",
"telephone_number": "813-788-0411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARCY",
"first_name": "CARLY",
"middle_name": "ANGELE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "FL",
"license": "RN9363104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH-FLORIDA",
"identifier": "RN9363104",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.