Individual provider Active NPI

Carol Kreider, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1063924769
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9229880 Issued in FL
Practice address
1515 N Flagler Dr Ste 430
West Palm Beach, FL 33401-3430
Phone
(561) 659-6336
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 ARNP9229880 FL Primary

Addresses

Primary practice location

1515 N Flagler Dr Ste 430
West Palm Beach, FL 33401-3430

Mailing address

1515 N Flagler Dr Ste 430
West Palm Beach, FL 33401-3430
Phone (561) 659-6336

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
I20230530001911 FL Practitioner - Nurse Practitioner 3476818964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach Diabetes and Endocrine Specialists PAGroup PAC ID 5698736601, 20 clinicians

Practice addresses (Care Compare)

1515 N Flagler Dr
Suite 430
West Palm BCH, FL 33401-3430
Phone (561) 659-6336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9229880FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Diabetes and Endocrine Specialists PA CurrentSince Jun 11, 2024 Accepting new patients
Doctors House Calls of Florida, LLC CurrentSince May 13, 2023 Accepting new patients
My Home Doctor, LLC Nurse Practitioner Past Accepting new patients

Locations

1025 Military Trl
Jupiter, FL 33458
Phone (561) 741-0000

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

1515 N Flagler Dr
Ste 430
West Palm Beach, FL 33401

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBGIAA
  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1063924769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 430",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-659-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 430",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-659-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9229880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.