Organization Active NPI

Carl R. Darnell Army Medial Center

  • Nursing Care Agency
  • Valrico, FL
National Provider Identifier
1386995918
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
ARNP9226566 Issued in FL
Legal business name
CARL R. DARNELL ARMY MEDIAL CENTER
Practice address
2623 Queen Alberta Dr
Valrico, FL 33596-6527
Phone
(813) 315-8162
NPI assigned
Sep 22, 2012
Last updated
Sep 22, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. ARMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2012

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

Authorized official

Name
Mr. Paul Austin, DAC
Title
Credentials Manager
Phone
(254) 286-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X ARNP9226566 FL Primary

Addresses

Primary practice location

2623 Queen Alberta Dr
Valrico, FL 33596-6527

Mailing address

2623 Queen Alberta Dr
Valrico, FL 33596-6527
Phone (813) 315-8162

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9226566OtherFLARNP

Other names 1

  • U.S. Army Other name

National Provider Directory

National Provider Directory
Part of
Carl R Darnell Army Medial Center

NPI Registry JSON

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348272000000",
    "number": "1386995918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 QUEEN ALBERTA DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966527",
            "telephone_number": "813-315-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 QUEEN ALBERTA DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966527",
            "telephone_number": "813-315-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL R. DARNELL ARMY MEDIAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. ARMY",
        "enumeration_date": "2012-09-22",
        "last_updated": "2012-09-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "254-286-7323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DAC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "ARNP9226566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "ARNP9226566",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Army",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; 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.