Active NPI
Laurette M Dicarlo, ARNP
- Acute Care Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1629005244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- ARNP 1364582
- Practice address
- 6399 38TH Ave N
St Petersburg, FL 33710-1647 - Phone
- (727) 384-6411
- Fax
- (727) 384-9033
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ARNP 1364582 | FL | Primary |
Addresses
Primary practice location
6399 38TH Ave N
St Petersburg, FL 33710-1647
Mailing address
11349 110TH Terr N
Largo, FL 33778-3708
Phone (727) 393-9821
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1364582 | FL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629005244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11349 110TH TERR N",
"city": "LARGO",
"state": "FL",
"postal_code": "337783708",
"telephone_number": "727-393-9821",
"fax_number": "727-393-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6399 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101647",
"telephone_number": "727-384-6411",
"fax_number": "727-384-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICARLO",
"first_name": "LAURETTE",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP 1364582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.