Active NPI
Carolyn Stephanie Coleman, ARNP
- Family Nurse Practitioner
- North Port, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9187275
- Practice address
- 14243 Tamiami TRL
North Port, FL 34287-2215 - Phone
- (941) 888-2144
- Fax
- (888) 213-0604
- NPI assigned
- Oct 2, 2013
- Last updated
- Aug 15, 2024
- 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 | ARNP9187275 | FL | Primary |
Addresses
Primary practice location
14243 Tamiami TRL
North Port, FL 34287-2215
Mailing address
PO Box 1000 Dept #394
Memphis, TN 38148-0001
Phone (941) 300-4440
Other practice location 1
1224 Del Prado Blvd S Ste A
Cape Coral, FL 33990-3670
Phone (239) 945-9401
Other practice location 2
1435 Dunn Ave Ste 101
Daytona Beach, FL 32114-1434
Phone (386) 274-7651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3347 Moravia Ave
North Port, FL 34286-5216
4440 Fruitville Rd
Sarasota, FL 34232-1926
PO Box
Suite 1000
Memphis, TN 38148
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90.03
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Community Health, Inc. | Family | Current | Accepting new patients |
| Can Community Health Inc. | Current | Accepting new patients |
Locations
1224 Del Prado Blvd S
Ste A
Cape Coral, FL 33990
Phone (239) 745-5050
1125 N Nova Rd
Daytona Beach, FL 32117
Phone (386) 274-7651
1435 Dunn Ave
Ste 101
Daytona Beach, FL 32114
Phone (386) 274-7651
4350 Fowler St
Ste 2
Fort Myers, FL 33901
Phone (239) 837-8187
14243 Tamiami Trl
North Port, FL 34287
Phone (941) 429-3180
1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CAN Community Health Pharmacy of Jacksonville
- Community/Retail Pharmacy
- Jacksonville, FL
- NPI 1538600424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1407283682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000 DEPT #394",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "941-300-4440",
"fax_number": "941-404-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14243 TAMIAMI TRL",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342872215",
"telephone_number": "941-888-2144",
"fax_number": "888-213-0604"
}
],
"practiceLocations": [
{
"address_1": "1224 Del Prado Blvd S Ste A",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339903670",
"country_code": "US",
"telephone_number": "239-945-9401",
"fax_number": "877-370-2835",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1435 Dunn Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321141434",
"country_code": "US",
"telephone_number": "386-274-7651",
"fax_number": "877-242-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "CAROLYN",
"middle_name": "STEPHANIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9187275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.