Individual provider Active NPI

Caroline Elizabeth Anthony, MSN, CCRN, RN

  • Critical Care Medicine Clinical Nurse Specialist
  • Titusville, FL
National Provider Identifier
1407618606
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
RN9331972 Issued in FL
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

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9331972FLMDCritical Care Medicine Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Medical Office PA CurrentSince Apr 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.