Individual provider Active NPI

Caroline Jones, APRN

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1568035053
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011956 Issued in FL
Practice address
1649 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1019
Phone
(941) 235-2372
Fax
(941) 235-2347
NPI assigned
Jul 21, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11011956 FL Primary

Addresses

Primary practice location

1649 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1019

Mailing address

1649 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1019
Phone (941) 235-2372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caroline.jones.1@4692.direct.athenahealth.com

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
I20210823000075 FL Practitioner - Nurse Practitioner 4385049899 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011956FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC CurrentSince Sep 1, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2022 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Sep 1, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1649 Tamiami Trl
Ste 1
Port Charlotte, FL 33948
Phone (941) 235-2372

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

1649 Tamiami Trl
Ste 1C
Pt Charlotte, FL 33948
Phone (941) 629-3366

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

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, 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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1568035053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-235-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-235-2372",
            "fax_number": "941-235-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAROLINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.jones.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1649 Tamiami Trl Ste 1",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339481019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.