Individual provider Active NPI

Carrie Jo Pappas, CNP,MSN,RN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093815151
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9400287 Issued in FL
Practice address
10150 Highland Manor Dr Ste 240
Tampa, FL 33610-9750
Phone
(813) 259-1013
Fax
(813) 254-0396
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.08393-NP OH
Nurse Practitioner 363L00000X 4704252316 MI
Family Nurse Practitioner 363LF0000X 9400287 FL Primary

Addresses

Primary practice location

10150 Highland Manor Dr Ste 240
Tampa, FL 33610-9750

Mailing address

2513 Webber St
Sarasota, FL 34239-4755

Other practice location 1

1700 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

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
I20180305002294 FL Practitioner - Nurse Practitioner 8426294828 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704252316MIMDNurse Practitioner
COA.08393-NPOHMDNurse Practitioner
9400287FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dees Family Chiropractic Inc. CurrentSince Feb 1, 2021 Accepting new patients
Global Physician Network LLC Series II CurrentSince Sep 27, 2018 Accepting new patients
Observation Physicians of Northwest Ohio LLC PastSince Mar 21, 2021 Accepting new patients

Locations

950 S Tamiami Trl
Ste 102
Sarasota, FL 34236
Phone (941) 552-6686

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678

Interoperability endpoints

  • Direct secure messaging: carrie.pappas.1@9340.direct.athenahealth.com

Organizations & group practices 4

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1093815151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109750",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34239",
            "country_code": "US",
            "telephone_number": "941-917-8507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "CARRIE",
        "middle_name": "JO",
        "credential": "CNP,MSN,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.08393-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704252316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9400287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.