Carolyn Genevieve David

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

299 Issued in FL

Practice address

4416 Porpoise Dr
Tampa, FL 33617-8316

Phone

(813) 988-8408

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolyn David Adult Family Care Home

  • Adult Care Home Facility
  • Tampa, FL
  • NPI 1407166697
  NPD (past) Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1407030893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 PORPOISE DR",
            "address_2": "4416 PORPOISE DR.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178316",
            "telephone_number": "813-988-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 PORPOISE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178316",
            "telephone_number": "813-988-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CAROLYN",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Myers, M.D., P.a.
• David R Heiman M D P a
• David S Mason MD PA
• David W Lyter, MD MPH, PA
• Amanda Marie David
• Ellen Elizabeth David, LCSW
• John David
• Kayla Francesca David
• Maria Christina David
• Miriam Wells David, FNP

• Adult Care Home Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.