Individual provider Active NPI

Carrie Aniello, RN

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1134630916
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9308475 Issued in FL
Practice address
910 Old Camp Rd Ste 210
The Villages, FL 32162-5605
Phone
(352) 751-3356
NPI assigned
Oct 19, 2017
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9308475 FL
Family Nurse Practitioner 363LF0000X ARNP9308475 FL Primary

Addresses

Primary practice location

910 Old Camp Rd Ste 210
The Villages, FL 32162-5605

Mailing address

36703 Alaqua CT
Eustis, FL 32736-7953

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
I20180403001671 FL Practitioner - Nurse Practitioner 4880956853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 Old Camp Rd
Suite 210
The Villages, FL 32162-5605
Phone (352) 751-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9308475FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Cardiology Consultants, PLLC CurrentSince Feb 19, 2018 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Feb 19, 2018 Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

5575 E State Road 44
Wildwood, FL 34785
Phone (352) 571-4418

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: caniello562422@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1134630916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36703 ALAQUA CT",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327367953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 210",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625605",
            "telephone_number": "352-751-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIELLO",
        "first_name": "CARRIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9308475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9308475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.