Active NPI
Carolyn K. Lavender, ARNP
- Nurse Practitioner
- St. Petersburg, FL
National Provider Identifier
1346535093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1885892
- Practice address
- 1615 Pasadena Ave. South
Suite 400
St. Petersburg, FL 33707-4505 - Phone
- (727) 341-1316
- Fax
- (727) 345-4000
- NPI assigned
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1885892 | FL | Primary |
Addresses
Primary practice location
1615 Pasadena Ave. South
Suite 400
St. Petersburg, FL 33707-4505
Mailing address
4371 Veronica S Shoemaker Blvd
Attn: Credential Department
Fort Myers, FL 33916-2216
Phone (239) 274-8200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1885892 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1346535093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"address_2": "ATTN: CREDENTIAL DEPARTMENT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162216",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 PASADENA AVE. SOUTH",
"address_2": "SUITE 400",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337074505",
"telephone_number": "727-341-1316",
"fax_number": "727-345-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVENDER",
"first_name": "CAROLYN",
"middle_name": "K.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1885892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.