Individual provider Active NPI

Carolyn Cohill, APRN, ANP-C

  • Adult Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1255747382
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9283275 Issued in FL
Practice address
4371 Veronica S Shoemaker Blvd
Atten: Credentialing
Fort Myers, FL 33916-2216
Phone
(239) 432-8515
Fax
(239) 278-3350
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9283275 FL Primary

Addresses

Primary practice location

4371 Veronica S Shoemaker Blvd
Atten: Credentialing
Fort Myers, FL 33916-2216

Mailing address

7750 Okeechobee Blvd Ste 4-385
West Palm Beach, FL 33411-2104
Phone (716) 698-8105

Other practice location 1

1600 SW Capri St
Palm City, FL 34990-4520
Phone (772) 419-2789

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
I20160115000826 FL Practitioner - Nurse Practitioner 1951626480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9283275FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald S Smith OD PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1255747382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 OKEECHOBEE BLVD STE 4-385",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112104",
            "telephone_number": "716-698-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "address_2": "ATTEN: CREDENTIALING",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-432-8515",
            "fax_number": "239-278-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Capri St",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349904520",
            "country_code": "US",
            "telephone_number": "772-419-2789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHILL",
        "first_name": "CAROLYN",
        "credential": "APRN, ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9283275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.