Organization Active NPI

Nightingale Eldercare LLC

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1295443315
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NIGHTINGALE ELDERCARE LLC
Practice address
3545 Carrington Dr
Tallahassee, FL 32303-2001
Phone
(772) 633-3495
Fax
(850) 563-9848
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Kinel Sarah, APRN-BC
Title
Owner
Phone
(772) 633-3495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3545 Carrington Dr
Tallahassee, FL 32303-2001

Mailing address

3545 Carrington Dr
Tallahassee, FL 32303-2001
Phone (772) 633-3495

Other names 1

  • Nightingale Eldercare Llc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230125002187 FL Part B Supplier - Clinic/Group Practice 8729459953 Receives reassigned benefits from 2 practitioners
Practice locations: Crawfordville, FL

National Provider Directory

National Provider Directory

Locations

4679 Crawfordville Hwy
Crawfordville, FL 32327
Phone (772) 633-3495

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1295443315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 CARRINGTON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032001",
            "telephone_number": "772-633-3495",
            "fax_number": "850-563-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 CARRINGTON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032001",
            "telephone_number": "772-633-3495",
            "fax_number": "850-563-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE ELDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "SARAH",
        "authorized_official_first_name": "KINEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-633-3495",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Eldercare Llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.