Active NPI
Carolyn Marie Case, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP9276826
- Practice address
- 5454 Lena Rd
Suite 106
Bradenton, FL 34211-9499 - Phone
- (941) 900-1111
- Fax
- (941) 201-4856
- NPI assigned
- Jan 25, 2006
- Last updated
- May 20, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F333935 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401127 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9276826 | FL | Primary |
Addresses
Primary practice location
5454 Lena Rd
Suite 106
Bradenton, FL 34211-9499
Mailing address
580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152
Phone (914) 345-5900
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 |
|---|---|---|---|
| F333935 | NY | MD | Family Nurse Practitioner |
| F401127 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nearshore Chiropractic & Wellness | Current | Accepting new patients | |
| The Mental Health Association of Westchester County, Inc. | Current | Accepting new patients | |
| GR&W, Inc | Current | Accepting new patients | |
| Access: Supports for Living Inc | Past | Accepting new patients | |
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients | |
| Access: Supports for Living Inc. | Past | Accepting new patients |
Locations
5454 Lena Rd
Unit 106
Bradenton, FL 34211
Phone (941) 225-8033
580 White Plains Rd
Ste 510
Tarrytown, NY 10591
Phone (518) 312-6335
1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238
1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 218-9405
Interoperability endpoints
- carolyn.case.1@14821.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Chiropractor
- Bradenton, FL
- NPI 1467276477
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1942306873
-
- Multi-Specialty Clinic/Center
- Middletown, NY
- NPI 1528174976
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1790326320
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1073583837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD STE 510",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915152",
"telephone_number": "914-345-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 LENA RD",
"address_2": "SUITE 106",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342119499",
"telephone_number": "941-900-1111",
"fax_number": "941-201-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333935",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401127",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9276826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.