Individual provider Active NPI

Carole Anne Kerwin Kain, DNSC, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1275862013
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP2623662 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437
Phone
(561) 752-9490
Fax
(561) 752-9491
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP 2623662 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP2623662 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437

Mailing address

899 SW 19TH St
Boca Raton, FL 33486-6938
Phone (561) 703-0773

Other practice location 1

1650 Osceola Drive
West Palm Beach, FL 33409-5038
Phone (561) 803-8880

Other practice location 2

4800 N Federal Hwy
Boca Raton, FL 33431-5188
Phone (561) 368-3388

Other names 1

  • Carole Anne Kain Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 2623662FLMDPediatric Nurse Practitioner
ARNP2623662FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1275862013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 SW 19TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866938",
            "telephone_number": "561-703-0773",
            "fax_number": "561-347-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Osceola Drive",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334095038",
            "country_code": "US",
            "telephone_number": "561-803-8880",
            "fax_number": "561-803-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334315188",
            "country_code": "US",
            "telephone_number": "561-368-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERWIN KAIN",
        "first_name": "CAROLE",
        "middle_name": "ANNE",
        "credential": "DNSC, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 2623662",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2623662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "KAIN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.