Individual provider Active NPI

Carla Sakosky Shulman, ARNP

  • Women's Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1154576411
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN1104132 Issued in FL
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

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00995691OtherFLMEDICARE RAILROAD
000587900MedicaidFL
Y5223OtherBCBS, 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000611 FL Practitioner - Nurse Practitioner 6406902121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1104132FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Feb 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.