Active NPI
Caroline Elizabeth Matthews
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1184166381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9464232
- Practice address
- 409 Bayshore Blvd
Tampa, FL 33606-2707 - Phone
- (813) 844-5460
- Fax
- (813) 844-1655
- NPI assigned
- Nov 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9464232 | FL | Primary |
Addresses
Primary practice location
409 Bayshore Blvd
Tampa, FL 33606-2707
Mailing address
PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-5460
Other practice location 1
619 19th St S
WP P855C
Birmingham, AL 35249-1900
Phone (205) 934-0263
Other practice location 2
619 19th St S
WP P855C
Birmingham, AL 35249-1900
Phone (205) 934-0263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmatthews136859@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1184166381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAMPA",
"state": "FL",
"postal_code": "336011289",
"telephone_number": "813-844-5460",
"fax_number": "813-844-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 BAYSHORE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062707",
"telephone_number": "813-844-5460",
"fax_number": "813-844-1655"
}
],
"practiceLocations": [
{
"address_1": "619 19th St S",
"address_2": "WP P855C",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352491900",
"country_code": "US",
"telephone_number": "205-934-0263",
"fax_number": "205-996-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 19th St S",
"address_2": "WP P855C",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352491900",
"country_code": "US",
"telephone_number": "205-934-0263",
"fax_number": "205-996-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS",
"first_name": "CAROLINE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-06",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9464232",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmatthews136859@direct.tgh.org",
"affiliation": "N",
"address_1": "409 Bayshore Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336062707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.