Individual provider Active NPI

Carolyn Mosby Adams

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1265754949
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP553802 Issued in FL
Practice address
5664 SW 60TH Ave
Ocala, FL 34474-5677
Phone
(235) 291-5555
Fax
(352) 291-5582
NPI assigned
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP553802 FL Primary

Addresses

Primary practice location

5664 SW 60TH Ave
Ocala, FL 34474-5677

Mailing address

5664 SW 60TH Ave
Ocala, FL 34474-5677
Phone (235) 291-5555

Other identifiers 1

IdentifierTypeStateIssuer
ARNP553802OtherFLARNP553802

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

State licenses

LicenseStateTypeSpecialty
ARNP553802FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Estella Byrd Whitman Wellness & Community Resource Center, Inc PastSince Jun 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1265754949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745677",
            "telephone_number": "235-291-5555",
            "fax_number": "352-291-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745677",
            "telephone_number": "235-291-5555",
            "fax_number": "352-291-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CAROLYN",
        "middle_name": "MOSBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP553802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP553802",
            "identifier": "ARNP553802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.