Active NPI
Nicole Carter, ARNP
- Adult Health Nurse Practitioner
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9248878
- Practice address
- 809 CR 466 Ste 302
Lady Lake, FL 32159-3215 - Phone
- (352) 391-1750
- Fax
- (352) 391-1752
- NPI assigned
- Aug 29, 2017
- Last updated
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9248878 | FL | Primary |
Addresses
Primary practice location
809 CR 466 Ste 302
Lady Lake, FL 32159-3215
Mailing address
809 CR 466 Ste 302
Ste 302
Lady Lake, FL 32159
Phone (352) 391-1750
Other practice location 1
8404 US Highway 441
Leesburg, FL 34788-4016
Phone (352) 315-8881
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9248878 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somnicare Anesthesia Inc | Current | Accepting new patients | |
| Somnicare Anesthesia & Spine Intervention Specialist, Inc | Current | Accepting new patients | |
| Medical Ventures of America LLC | Past | Accepting new patients |
Locations
201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875
201 W Guava St
Ste 202
Lady Lake, FL 32159
Phone (352) 391-1750
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Spine Intervention Specialists, Inc
- Interventional Pain Medicine Physician
- Lady Lake, FL
- NPI 1962712794
-
- Anesthesiology Physician
- Lady Lake, FL
- NPI 1801477401
-
dba Lake Regional Urgent Care
- Legal Medicine
- Mount Dora, FL
- NPI 1073576146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1245757327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CR 466 STE 302",
"address_2": "STE 302",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-391-1750",
"fax_number": "352-391-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 CR 466 STE 302",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593215",
"telephone_number": "352-391-1750",
"fax_number": "352-391-1752"
}
],
"practiceLocations": [
{
"address_1": "8404 US Highway 441",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347884016",
"country_code": "US",
"telephone_number": "352-315-8881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2022-11-22",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9248878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Capion Mental Health
- Carebair Services LLC
- Carefirst Healthcare Solutions LLC
- Ally Bree Carroll, APRN
- Anesia Carter, ARNP
- Alma B Castillo, DO
- David John Catalano, M.D.
- CCRC-Freedom Pointe at the Villages, LLC (Freedom Pointe Health Center)
- Center for Hope and Healing, LLC
- Center for Sleep and Lung Disorders Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.