Individual provider Active NPI

Carrie Dianne Culpepper, APRN

  • Acute Care Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1386107407
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11001595 Issued in FL
Practice address
7301A W Palmetto Park Rd Ste 100B
Boca Raton, FL 33433-3403
Phone
(561) 221-6895
Fax
(561) 221-6896
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11001595 FL Primary

Addresses

Primary practice location

7301A W Palmetto Park Rd Ste 100B
Boca Raton, FL 33433-3403

Mailing address

21346 Saint Andrews Blvd # 121
Boca Raton, FL 33433-2432
Phone (561) 221-6895

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
I20190528000757 FL Practitioner - Nurse Practitioner 0749523165 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001595FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pompano Beach Chiropractic Clinic, PA CurrentSince Sep 9, 2020 Accepting new patients
Lighthouse Medical Center, Inc. CurrentSince Sep 9, 2020 Accepting new patients

Locations

4 NE 4th Ave
Pompano Beach, FL 33060
Phone (754) 222-6642

Organizations & group practices 2

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1386107407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21346 SAINT ANDREWS BLVD # 121",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332432",
            "telephone_number": "561-221-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 100B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333403",
            "telephone_number": "561-221-6895",
            "fax_number": "561-221-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "CARRIE",
        "middle_name": "DIANNE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11001595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.