Active NPI
Beau Jason Caruthers, ARNP
- Nurse Practitioner
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9255567
- Practice address
- 1740 SE 18TH St
Suite 1002
Ocala, FL 34471-5408 - Phone
- (352) 622-1126
- Fax
- (352) 622-2391
- NPI assigned
- Dec 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9255567 | FL | Primary |
Addresses
Primary practice location
1740 SE 18TH St
Suite 1002
Ocala, FL 34471-5408
Mailing address
1740 SE 18TH St
Suite 1002
Ocala, FL 34471-5408
Phone (352) 622-1126
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9255567 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Care Centre PA | Current | Accepting new patients | |
| Asthma and Allergy Specialist LLC | Current | Accepting new patients | |
| Allergy & Asthma Center of Northwest Florida PA | Current | Accepting new patients | |
| Randall Humphreys P a | Current | Accepting new patients |
Locations
3208 Chiquita Blvd S
Ste 110
Cape Coral, FL 33914
Phone (239) 549-1398
971 Airport Rd
Destin, FL 32541
Phone (850) 654-4541
8461 Cypress Lake Dr
Fort Myers, FL 33919
Phone (239) 489-1398
785 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 673-1323
785 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (386) 673-1323
9 Pine Cone Dr
Ste 105
Palm Coast, FL 32137
Phone (386) 445-8533
2401 Saint Andrews Blvd
Panama City, FL 32405
Phone (850) 705-2717
8354 N Davis Hwy
Ste 120
Pensacola, FL 32514
Phone (850) 473-1121
150 Southpark Blvd
Ste 104
St Augustine, FL 32086
Phone (904) 826-3343
Interoperability endpoints
- caruthers.beau.010.0090427@avh.meditab.direct-ci.com
- beau.caruthers@aacf.directbygreenway.com
Organizations & group practices 4
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.
-
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Fort Myers, FL
- NPI 1780739946
-
- Allergy & Immunology Physician
- Pensacola, FL
- NPI 1134321920
-
- Allergy & Immunology Physician
- Ormond Beach, FL
- NPI 1326237736
-
- Allergy & Immunology Physician
- Panama City, FL
- NPI 1548372873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1477899458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 SE 18TH ST",
"address_2": "SUITE 1002",
"city": "OCALA",
"state": "FL",
"postal_code": "344715408",
"telephone_number": "352-622-1126",
"fax_number": "352-622-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 SE 18TH ST",
"address_2": "SUITE 1002",
"city": "OCALA",
"state": "FL",
"postal_code": "344715408",
"telephone_number": "352-622-1126",
"fax_number": "352-622-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUTHERS",
"first_name": "BEAU",
"middle_name": "JASON",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-20",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9255567",
"primary": true
}
],
"identifiers": [],
"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 Jan 30, 2015; 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.