Carly Caviness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11045957 Issued in FL

Practice address

1850 SW Fountainview Blvd Ste 105
Port Saint Lucie, FL 34986-4527

Phone

(772) 336-2818

Fax

(772) 336-5313

NPI assigned

Apr 2, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1083555361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-967-6400",
            "fax_number": "954-967-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SW FOUNTAINVIEW BLVD STE 105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864527",
            "telephone_number": "772-336-2818",
            "fax_number": "772-336-5313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Town Center Dr Apt 403",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585258",
            "country_code": "US",
            "telephone_number": "205-901-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVINESS",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11045957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gabriela Castro, DPT
• Eduardo Castro, APRN
• Catalyst for Change Psychiatric & Counseling Services
• Chellise Cato, MD
• Gabrielle Cave, B.S
• Cba Elite Mind & Body Care, LLC
• CDC Research Institute,LLC
• Claudia Cedeno Nadal, PSYD
• Jaroslaw Cegielski, D.M.D.
• Delvis A Celdran, M.D.

• Family Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.