Individual provider Active NPI

Carolyn Stephanie Coleman, ARNP

  • Family Nurse Practitioner
  • North Port, FL
National Provider Identifier
1407283682
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9187275 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120001482 FL Practitioner - Nurse Practitioner 3072749100 Reassigns benefits to 1 organization

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 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Family CurrentSince Feb 5, 2024 Accepting new patients
Can Community Health Inc. CurrentSince Feb 5, 2024 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.

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

Verify at the official NPI Registry.