Active NPI
Carla Sakosky Shulman, ARNP
- Women's Health Nurse Practitioner
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN1104132
- Practice address
- 1071 S Sun Dr Ste 1043
Lake Mary, FL 32746-2573 - Phone
- (407) 333-1616
- Fax
- (407) 333-1617
- NPI assigned
- Nov 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP1104132 | FL | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN1104132 | FL | Primary |
Addresses
Primary practice location
1071 S Sun Dr Ste 1043
Lake Mary, FL 32746-2573
Mailing address
1071 S Sun Dr Ste 1043
Lake Mary, FL 32746-2573
Phone (407) 333-1616
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00995691 | Other | FL | MEDICARE RAILROAD |
| 000587900 | Medicaid | FL | |
| Y5223 | Other | BCBS, INDIVIDUAL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1104132 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Current | Accepting new patients |
Locations
1071 S Sun Dr
Ste 1043
Lake Mary, FL 32746
Phone (407) 333-1616
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814
2078 Winter Springs Blvd
Oviedo, FL 32765
Phone (407) 453-2072
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
Interoperability endpoints
- carla.shulman@hca4.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1154576411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 S SUN DR STE 1043",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462573",
"telephone_number": "407-333-1616",
"fax_number": "407-333-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 S SUN DR STE 1043",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462573",
"telephone_number": "407-333-1616",
"fax_number": "407-333-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "CARLA",
"middle_name": "SAKOSKY",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-28",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP1104132",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN1104132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00995691",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000587900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS, INDIVIDUAL",
"identifier": "Y5223",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.