Individual provider Active NPI

Beau Jason Caruthers, ARNP

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1477899458
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9255567 Issued in FL
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

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130124000331 FL Practitioner - Nurse Practitioner 0042464133 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9255567FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Care Centre PA CurrentSince Sep 5, 2023 Accepting new patients
Asthma and Allergy Specialist LLC CurrentSince Sep 5, 2023 Accepting new patients
Allergy & Asthma Center of Northwest Florida PA CurrentSince Sep 5, 2023 Accepting new patients
Randall Humphreys P a CurrentSince Sep 5, 2023 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

  • Direct secure messaging: caruthers.beau.010.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.