Individual provider Active NPI

Caryle Lyne Clyatt, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1609005917
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3285992 Issued in FL
Practice address
7890 Summerlin Lakes Dr
Suite 3
Fort Myers, FL 33907-1851
Phone
(239) 939-1999
Fax
(239) 939-4935
NPI assigned
Jul 8, 2009
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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 ARNP3285992 FL Primary

Addresses

Primary practice location

7890 Summerlin Lakes Dr
Suite 3
Fort Myers, FL 33907-1851

Mailing address

7890 Summerlin Lakes Dr
Suite 3
Fort Myers, FL 33907-1851
Phone (239) 939-1999

Other identifiers 3

IdentifierTypeStateIssuer
001329200MedicaidFL
008470600MedicaidFL
052728900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Healthcare of SW Florida Current Accepting new patients

Locations

7890 Summerlin Lakes Dr
Ste 3
Fort Myers, FL 33907
Phone (239) 939-1999

Interoperability endpoints

  • Direct secure messaging: clc@whosfl-fl.direct.office.nextgen.com

Organizations & group practices 3

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1609005917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 SUMMERLIN LAKES DR",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071851",
            "telephone_number": "239-939-1999",
            "fax_number": "239-939-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 SUMMERLIN LAKES DR",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071851",
            "telephone_number": "239-939-1999",
            "fax_number": "239-939-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYATT",
        "first_name": "CARYLE",
        "middle_name": "LYNE",
        "name_prefix": "Ms.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3285992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001329200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008470600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052728900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.