Carolyn A Rawdon, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2009001192 Issued in FL

Practice address

8483 S US Highway 1
Ste 19
Port St Lucie, FL 34952-3360

Phone

(772) 873-1770

Fax

(772) 873-1781

NPI assigned

Feb 16, 2009

Last updated

Mar 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Patel Medical Consulting LLCGroup PAC ID 9537414644, 5 clinicians

Deno Services IncGroup PAC ID 7618238726, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Deno Services Inc

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1447764840
  Medicare reassignment Care Compare group NPD
• Patel Medical Consulting, LLC

  • Family Medicine Physician
  • Palm City, FL
  • NPI 1750887584
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164
  NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1487893343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8483 S US HIGHWAY 1",
            "address_2": "STE 19",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "772-873-1770",
            "fax_number": "772-873-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 S US HIGHWAY 1",
            "address_2": "STE 19",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "772-873-1770",
            "fax_number": "772-873-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWDON",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2009001192",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "ARNP9224424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01111877",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4658800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Shavon Ransom
• Rapid Response Medical LLC
• Amanda Rapier
• Ronald Lee Rasberry Jr., M.D.
• Alyssa Raudebaugh-Jackson, BCBA
• James Raytsin
• Constance Razzano, LMHC
• Re-Assure Non Emergency Transportation
• Re-Written Counseling Services
• Carrie Lynn Reap

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.

Verify at the official NPI Registry.