Individual provider Active NPI

Carolina Behrens Molina, APRN

  • Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1285072132
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9248941 Issued in FL
Practice address
603 N Flamingo Rd Ste 151
Pembroke Pines, FL 33028-1021
Phone
(954) 265-4325
Fax
(954) 436-4606
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 ARNP9248941 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd Ste 151
Pembroke Pines, FL 33028-1021

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

801 N Flamingo Rd Ste 11
Pembroke Pines, FL 33028-1019
Phone (954) 265-4325

Other practice location 2

20801 Biscayne Blvd Ste 200
Aventura, FL 33180-1422
Phone (954) 265-4325

Other identifiers 1

IdentifierTypeStateIssuer
010414300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clugo106271@MHSDIRECT.NET Direct

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
I20130821000983 FL Practitioner - Nurse Practitioner 4789827866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Hollywood, FL 33021-5424

12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-4325

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District PastSince Oct 1, 2020 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Interoperability endpoints

  • Direct secure messaging: clugo106271@mhsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1285072132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 151",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281021",
            "telephone_number": "954-265-4325",
            "fax_number": "954-436-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N Flamingo Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281019",
            "country_code": "US",
            "telephone_number": "954-265-4325",
            "fax_number": "954-443-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20801 Biscayne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801422",
            "country_code": "US",
            "telephone_number": "954-265-4325",
            "fax_number": "305-935-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "CAROLINA",
        "middle_name": "BEHRENS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9248941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010414300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clugo106271@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20801 Biscayne Blvd Ste 200",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.