Individual provider Active NPI

Carline Brownlee

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1154885440
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000655 Issued in FL
Practice address
2301 N University Dr Ste 104
Pembroke Pines, FL 33024-3617
Phone
(954) 271-7180
Fax
(954) 900-8869
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000655 FL Primary

Addresses

Primary practice location

2301 N University Dr Ste 104
Pembroke Pines, FL 33024-3617

Mailing address

131 SW 70TH Ave
Pembroke Pines, FL 33023-1012
Phone (954) 559-4674

Other identifiers 1

IdentifierTypeStateIssuer
109827500MedicaidFL

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
I20201124001620 FL Practitioner - Nurse Practitioner 3072924000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstone Primary Care Partners LLCGroup PAC ID 7416230693, 12 clinicians

Practice addresses (Care Compare)

1380 NE Miami Gardens Dr
Suite 285
North Miami Beach, FL 33179-4758
Phone (304) 944-8777

Hospital & facility affiliations

  • Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324
  • Patient Resources Home health agency, Plantation, FL, CCN 687126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000655FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstone Primary Care Partners LLC CurrentSince Apr 18, 2022 Accepting new patients

Locations

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 224-2191

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

1380 NE Miami Gardens Dr
Ste 285
North Miami Beach, FL 33179
Phone (304) 944-8777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD
  • Direct secure messaging: carline.brownlee@206990998306820.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1154885440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SW 70TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231012",
            "telephone_number": "954-559-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N UNIVERSITY DR STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243617",
            "telephone_number": "954-271-7180",
            "fax_number": "954-900-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNLEE",
        "first_name": "CARLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109827500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.