Individual provider Active NPI

Linda S Caruso, ARNP-C

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1407081771
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1628282 Issued in FL
Practice address
2195 Jenks Ave
Suite B
Panama City, FL 32405-4682
Phone
(850) 784-6696
Fax
(850) 785-2100
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP1628282 FL Primary

Addresses

Primary practice location

2195 Jenks Ave
Suite B
Panama City, FL 32405-4682

Mailing address

2195 Jenks Ave
Suite B
Panama City, FL 32405-4682
Phone (850) 784-6696

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

State licenses

LicenseStateTypeSpecialty
ARNP1628282FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azzam Adhal, M.D. Past Accepting new patients

Organizations & group practices 1

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1407081771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 JENKS AVE",
            "address_2": "SUITE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054682",
            "telephone_number": "850-784-6696",
            "fax_number": "850-785-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 JENKS AVE",
            "address_2": "SUITE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054682",
            "telephone_number": "850-784-6696",
            "fax_number": "850-785-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1628282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.