Individual provider Active NPI

Taylor Ashlyn Carral

  • Pediatric Nurse Practitioner
  • Safety Harbor, FL
National Provider Identifier
1457171357
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11035928 Issued in FL
Practice address
1840 Mease Dr Ste 204
Safety Harbor, FL 34695-6604
Phone
(727) 791-7504
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11035928 FL Primary

Addresses

Primary practice location

1840 Mease Dr Ste 204
Safety Harbor, FL 34695-6604

Mailing address

15242 Woodcrest Rd
Brooksville, FL 34604-8177
Phone (352) 232-4737

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11035928FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology Hepatology & Nutrition of FL P a CurrentSince Oct 20, 2024 Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients

Locations

1840 Mease Dr
Ste 204
Safety Harbor, FL 34695
Phone (727) 791-7504

601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333

Interoperability endpoints

  • Direct secure messaging: tcarral1356499@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1457171357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15242 WOODCREST RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048177",
            "telephone_number": "352-232-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 204",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956604",
            "telephone_number": "727-791-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAL",
        "first_name": "TAYLOR",
        "middle_name": "ASHLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11035928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.