Carolyn Cobb Stewart, ARNP, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP9194205 Issued in FL

Practice address

2239 S Woodland Blvd
Deland, FL 32720-8633

Phone

(386) 279-0151

Fax

(386) 279-0148

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1174520928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MANATEE SPRINGS CT",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636442",
            "telephone_number": "386-774-1380",
            "fax_number": "386-774-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208633",
            "telephone_number": "386-279-0151",
            "fax_number": "386-279-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CAROLYN",
        "middle_name": "COBB",
        "credential": "ARNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9194205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765193700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edward Steffes Jr., M.D.
• Miranda Elizabeth Stephens
• Hyman Solomon Sternthal, LICENSEDPSYCHOLOGIST
• Graham Robert Steskal, DC
• Meghan Steward
• Charles Eugene Stewart, L.AC AP
• Kathy T Stigers, M.A./CCC-A
• Ferquita Stokes
• Olivia Laurel Stolz, PA-C
• Manon Stonecypher, RMFTI

• Psychiatric/Mental Health Nurse Practitioner in Deland, FL
• Providers in Deland, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.