Active NPI
Tish I'Renee Carlton, NP
- Adult Health Nurse Practitioner
- Riverview, FL
National Provider Identifier
1376564195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP3092992
- Practice address
- 10634 Shady Preserve Dr
Riverview, FL 33579-9310 - Phone
- (813) 892-5159
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP3092992 | FL | Primary |
Addresses
Primary practice location
10634 Shady Preserve Dr
Riverview, FL 33579-9310
Mailing address
10634 Shady Preserve Dr
Riverview, FL 33579-9310
Phone (813) 892-5159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305181100 | Medicaid | FL |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3092992 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379203200000",
"number": "1376564195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10634 SHADY PRESERVE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335799310",
"telephone_number": "813-892-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10634 SHADY PRESERVE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335799310",
"telephone_number": "813-892-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLTON",
"first_name": "TISH",
"middle_name": "I'RENEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2013-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP3092992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305181100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.