Active NPI
Linda S Caruso, ARNP-C
- Family Nurse Practitioner
- Panama City, FL
National Provider Identifier
1407081771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1628282
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1628282 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Panama City, FL
- NPI 1518360288
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.