Active NPI
Carol Louise Negoshian, ARNP-C
- Family Nurse Practitioner
- Haines City, FL
National Provider Identifier
1639415854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN1003832
- Practice address
- 36245 Hwy 27
Haines City, FL 33844-3744 - Phone
- (863) 421-9801
- Fax
- (863) 421-9364
- NPI assigned
- Dec 15, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN1003832 | FL | Primary |
Addresses
Primary practice location
36245 Hwy 27
Haines City, FL 33844-3744
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-1355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020665600 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1003832 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650
2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848
Interoperability endpoints
- carol.negoshian@direct.mybaycare.org
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 and National Provider Directory roles.
-
- General Practice Physician
- Largo, FL
- NPI 1184677007
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- General Practice Physician
- New Port Richey, FL
- NPI 1629514070
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1639415854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-532-1355",
"fax_number": "813-635-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36245 HWY 27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338443744",
"telephone_number": "863-421-9801",
"fax_number": "863-421-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGOSHIAN",
"first_name": "CAROL",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-15",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN1003832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020665600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.