Active NPI
Carolyn Frett
- Physician Assistant
- Orange City, FL
National Provider Identifier
1073344180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121356
- Practice address
- 258 Treemonte Dr Ste 258
Orange City, FL 32763-7945 - Phone
- (386) 628-3376
- Fax
- (386) 877-0188
- NPI assigned
- Aug 10, 2024
- Last updated
- May 18, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121356 | FL | Primary |
Addresses
Primary practice location
258 Treemonte Dr Ste 258
Orange City, FL 32763-7945
Mailing address
258 Treemonte Dr Ste 258
Orange City, FL 32763-7945
Phone (386) 628-3376
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9121356 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1073344180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 TREEMONTE DR STE 258",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637945",
"telephone_number": "386-628-3376",
"fax_number": "386-877-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 TREEMONTE DR STE 258",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637945",
"telephone_number": "386-628-3376",
"fax_number": "386-877-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRETT",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-10",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
- Michael John Forsythe, HAS
- Four Towns Dental Services, PA
- Sarah Irene Fox Saenz, FNP-C
- Frank a Broome Jr O.D. (Daytona Eye Center/Eye Savers)
- April Lynn Freeman, LMT
- Julie Ann Friesl, PT
- Frontiermed Allergy and Asthma Center, PLLC (FrontierMed Allergy and Asthma Center)
- FST Behavioral
- Lexi Gale, SLPA
- Joseph Blane Gallagher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.