Individual provider Active NPI

Carol J Monroe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1154331122
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11014213 Issued in FL
Practice address
6075 Rand Blvd Ste 1
Sarasota, FL 34238-5126
Phone
(941) 921-2792
Fax
(941) 925-2438
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 002622 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11014213 FL Primary

Addresses

Primary practice location

6075 Rand Blvd Ste 1
Sarasota, FL 34238-5126

Mailing address

6075 Rand Blvd Ste 1
Sarasota, FL 34238-5126
Phone (941) 921-2792

Other identifiers 1

IdentifierTypeStateIssuer
004227105MedicaidCT

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
I20221108003625 FL Practitioner - Nurse Practitioner 8022073782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6075 Rand Blvd
Suite 1
Sarasota, FL 34238-5126
Phone (941) 921-2792

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002622CTMDClinical Psychologist
APRN11014213FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Centers of Sarasota, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Behavioral Health Centers PA CurrentSince Sep 1, 2023 Accepting new patients
State of Connecticut PastSince Apr 1, 2022 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

6075 Rand Blvd
Ste 1
Sarasota, FL 34238
Phone (941) 921-2792

5602 Marquesas Cir
Ste 212
Sarasota, FL 34233

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1154331122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 RAND BLVD STE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385126",
            "telephone_number": "941-921-2792",
            "fax_number": "941-925-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 RAND BLVD STE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385126",
            "telephone_number": "941-921-2792",
            "fax_number": "941-925-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002622",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11014213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004227105",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.