Individual provider Active NPI

Denise Magaly Carulli, ARNP

  • Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1346372083
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 3172932 Issued in FL
Practice address
12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone
(813) 871-8079
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 ARNP 3172932 FL Primary

Addresses

Primary practice location

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637

Mailing address

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8079

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 3172932OtherFLADV REG NURSE PRACTITIONE

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
I20130529000653 FL Practitioner - Nurse Practitioner 2961640131 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 3172932FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chapters Health Palliative Care, LLC CurrentSince Jan 6, 2020 Accepting new patients

Locations

12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1346372083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR",
            "address_2": "STE 300W",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-871-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR",
            "address_2": "STE 300W",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-871-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARULLI",
        "first_name": "DENISE",
        "middle_name": "MAGALY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 3172932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV REG NURSE PRACTITIONE",
            "identifier": "ARNP 3172932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.