Individual provider Active NPI

Carol Austin, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1497314124
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002721 Issued in FL
Practice address
4675 Linton Blvd Ste 200
Delray Beach, FL 33445-6615
Phone
(561) 331-5050
Fax
(561) 331-3711
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11002721 FL
Pediatric Nurse Practitioner 363LP0200X 9352445 FL
Family Nurse Practitioner 363LF0000X APRN11002721 FL Primary

Addresses

Primary practice location

4675 Linton Blvd Ste 200
Delray Beach, FL 33445-6615

Mailing address

4021 NE 17TH Ter
Oakland Park, FL 33334-5425
Phone (954) 401-4397

Other practice location 1

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 351-5999

Other practice location 2

4141 NW 5th St
Plantation, FL 33317-2180
Phone (954) 791-5420

Other identifiers 2

IdentifierTypeStateIssuer
APRN11002721OtherFLMEDICAL LICENSE
14502950OtherFLCAQH

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
I20191002001299 FL Practitioner - Nurse Practitioner 2769712868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flpmi, LLCGroup PAC ID 5991042640, 10 clinicians

Practice addresses (Care Compare)

4675 Linton Blvd
Suite 200
Delray Beach, FL 33445-6615
Phone (561) 331-5050

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9352445FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flpmi, LLC CurrentSince Jul 22, 2019 Accepting new patients

Locations

2623 S Seacrest Blvd
Ste 108
Boynton Beach, FL 33435
Phone (561) 331-5050

4675 Linton Blvd
Ste 200
Delray Beach, FL 33445
Phone (561) 331-5050

Interoperability endpoints

  • Direct secure messaging: carol.austin.1@22989.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1497314124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 NE 17TH TER",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345425",
            "telephone_number": "954-401-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456615",
            "telephone_number": "561-331-5050",
            "fax_number": "561-331-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084603",
            "country_code": "US",
            "telephone_number": "954-351-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4141 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172180",
            "country_code": "US",
            "telephone_number": "954-791-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CAROL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002721",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9352445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN11002721",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14502950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.