Individual provider Active NPI

Carolyn Elaine Agnew, ARNP

  • Adult Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1346572633
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3335702 Issued in FL
Practice address
302 Bryan Rd
Brandon, FL 33511-5337
Phone
(813) 681-7512
Fax
(813) 681-7512
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
No

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3335702FLMDAdult Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3335702 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

302 Bryan Rd
Brandon, FL 33511-5337

Mailing address

302 Bryan Rd
Brandon, FL 33511-5337
Phone (813) 681-7512

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2016.

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1346572633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115337",
            "telephone_number": "813-681-7512",
            "fax_number": "813-684-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115337",
            "telephone_number": "813-681-7512",
            "fax_number": "813-681-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "CAROLYN",
        "middle_name": "ELAINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3335702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.