Organization Active NPI

Caring Heart Family Nurse Practioner PLLC

  • Primary Care Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1093597734
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CARING HEART FAMILY NURSE PRACTIONER PLLC
Practice address
21 Old Kings Rd N Unit 108
Palm Coast, FL 32137-8254
Phone
(239) 222-8065
Fax
(386) 232-5152
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Evangeline Butler, APRNNPI 1710544911
Title
Owner
Phone
(239) 222-8065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

21 Old Kings Rd N Unit 108
Palm Coast, FL 32137-8254

Mailing address

138 Wellstone Dr
Palm Coast, FL 32164-4111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1093597734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WELLSTONE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD KINGS RD N UNIT 108",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378254",
            "telephone_number": "239-222-8065",
            "fax_number": "386-232-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEART FAMILY NURSE PRACTIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-222-8065",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.