Active NPI
Kristin Krug Carl, N.P.
- Women's Health Nurse Practitioner
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN11007712
- Practice address
- 2665 State Road 580
Clearwater, FL 33761-3166 - Phone
- (813) 286-0033
- Fax
- (813) 282-1806
- NPI assigned
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11007712 | FL | |
| Women's Health Clinical Nurse Specialist | 364SW0102X | 15513 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN11007712 | FL | Primary |
Addresses
Primary practice location
2665 State Road 580
Clearwater, FL 33761-3166
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2665 State Rd
Suite 580
Clearwater, FL 33761-3166
Phone (727) 725-5121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007712 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Women's Care Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Obstetrics & Gynecology Surgical Associates | Past | Accepting new patients |
Locations
2665 State Road 580
Clearwater, FL 33761
Phone (727) 725-5121
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
Interoperability endpoints
- kristin.carl@wcfnf.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Nurse Practitioner
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
dba West Coast OB/GYN, Inc.
- Obstetrics & Gynecology Physician
- La Mesa, CA
- NPI 1497839211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1437574332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 STATE ROAD 580",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613166",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARL",
"first_name": "KRISTIN",
"middle_name": "KRUG",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11007712",
"primary": false
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "CA",
"license": "15513",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN11007712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.