Active NPI
Debbie M McCarthy, ARNP
- Family Nurse Practitioner
- Clewiston, FL
National Provider Identifier
1184644148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1657452
- Practice address
- 500 W Sagamore Ave
Clewiston, FL 33440-3514 - Phone
- (863) 983-3434
- Fax
- (863) 983-6655
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1657452 | FL | Primary |
Addresses
Primary practice location
500 W Sagamore Ave
Clewiston, FL 33440-3514
Mailing address
500 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 983-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304990600 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1657452 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendry County Hospital Authority | Past | Accepting new patients |
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.
-
- Rural Health Clinic/Center
- Labelle, FL
- NPI 1588859623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184644148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W SAGAMORE AVE",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403514",
"telephone_number": "863-983-3434",
"fax_number": "863-983-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W SAGAMORE AVE",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403514",
"telephone_number": "863-983-3434",
"fax_number": "863-983-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "DEBBIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "1657452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304990600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.