Active NPI
Caroline Elizabeth Anthony, MSN, CCRN, RN
- Critical Care Medicine Clinical Nurse Specialist
- Titusville, FL
National Provider Identifier
1407618606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Clinical Nurse Specialist
- License
- RN9331972
- Practice address
- 951 N Washington Ave BLDG 4
Titusville, FL 32796-2194 - Phone
- (321) 268-6111
- NPI assigned
- Jan 24, 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 |
|---|---|---|---|---|
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | RN9331972 | FL | Primary |
Addresses
Primary practice location
951 N Washington Ave BLDG 4
Titusville, FL 32796-2194
Mailing address
3617 Old Dixie Hwy
Mims, FL 32754-5544
Phone (321) 506-8068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9331972 | FL | MD | Critical Care Medicine Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Medical Office PA | Current | Accepting new patients |
Locations
951 N Washington Ave
Bldg 4
Titusville, FL 32796
Phone (321) 443-2247
3300 Dairy Rd
Titusville, FL 32796
Phone (321) 267-6687
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFFICA
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.
-
- Specialist
- Titusville, FL
- NPI 1245220557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1407618606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 OLD DIXIE HWY",
"city": "MIMS",
"state": "FL",
"postal_code": "327545544",
"telephone_number": "321-506-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N WASHINGTON AVE BLDG 4",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962194",
"telephone_number": "321-268-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "CAROLINE",
"middle_name": "ELIZABETH",
"credential": "MSN, CCRN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "FL",
"license": "RN9331972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.