Carla De Souza, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11029849 Issued in FL

Practice address

13127 Vail Ridge Dr
Riverview, FL 33579-7196

Phone

(813) 661-6199

NPI assigned

Dec 11, 2023

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• South Shore Cardiovascular Associates Inc

  • Cardiovascular Disease Physician
  • Brandon, FL
  • NPI 1912175290
  Medicare reassignment NPD
• American Heart Institute Inc

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
  • NPI 1679536270
  NPD
• Aung Tun MD PA

  dba Florida Heart Institue

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
  • NPI 1306959507
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1306613237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 JAMESTOWN MANOR DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788303",
            "telephone_number": "813-598-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6833 Medical View Ln",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335426614",
            "country_code": "US",
            "telephone_number": "813-780-6687",
            "fax_number": "813-788-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "CARLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029849",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11029849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqui M Dawson, D.O.
• Lanaye Monique Daymond, RN
• Jennifer De Gaspard, AGNP
• Stacie De L'Etoile
• Jose Julian De la Rocha, PA
• Yanique Deane, LCSW
• Megan Stewart Dearborn, P.T.
• Rasheeda Debose
• Def Riverview PLLC
• Cherrie M Deguzman

• Gerontology Nurse Practitioner in Riverview, FL
• Providers in Riverview, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.