Individual provider Active NPI

Carol Ann Bartholomew, DCDACAN

  • Neurology Chiropractor
  • Ocala, FL
National Provider Identifier
1457438806
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH0003848 Issued in FL
Practice address
420 SE 17TH St
Ocala, FL 34471-4433
Phone
(352) 351-5343
Fax
(352) 368-1099
NPI assigned
Nov 1, 2006
Last updated
May 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH0003848 FL Primary

Addresses

Primary practice location

420 SE 17TH St
Ocala, FL 34471-4433

Mailing address

420 SE 17TH St
Ocala, FL 34471-4433
Phone (352) 351-5343

Other identifiers 1

IdentifierTypeStateIssuer
0502146-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000162 FL Practitioner - Chiropractic 0648456251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 NE 25TH Ave
Ocala, FL 34470-6319
Phone (352) 732-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003848FLMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bartholomew Vitelli Inc CurrentSince Aug 30, 2010 Accepting new patients

Locations

420 SE 17th St
Ocala, FL 34471
Phone (352) 351-5343

801 NE 25th Ave
Ocala, FL 34470
Phone (352) 732-0200

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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1457438806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714433",
            "telephone_number": "352-351-5343",
            "fax_number": "352-368-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714433",
            "telephone_number": "352-351-5343",
            "fax_number": "352-368-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DCDACAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH0003848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502146-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.