Bianca Carroll, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9445365 Issued in FL

Practice address

580 Lexington Green Lane
Sanford, FL 32771

Phone

(407) 904-0942

Fax

(407) 904-0943

NPI assigned

May 18, 2015

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bianca Burnett Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wellness and Hydration Clinic, LLC

  dba Newgen Direct Primary Care

  • Primary Care Clinic/Center
  • Sanford, FL
  • NPI 1831789015
  NPD Authorized official
• Tele Med Clinix LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sanford, FL
  • NPI 1780204305
  NPD
• Tele Med Clinix Lousiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1346085719
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1649658030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LEXINGTON GREEN LANE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-904-0942",
            "fax_number": "407-904-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LEXINGTON GREEN LANE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-904-0942",
            "fax_number": "407-904-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "BIANCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-02-14",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "183971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9445365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "BURNETT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haidy Carrasquillo Rodriguez, M.D.
• Amanda Carrasquillo
• Carl Carrasquillo, PHARMACIST
• Adriana Carreno, LMHC
• Javier Carrillo-Bonilla
• Eduardo J Casillas Algarin, D.C.
• Claudia P Castano, PTA
• Jenifer Ceballos, RN
• Centerwell Senior Primary Care FL JV PLLC (CenterWell Senior Primary Care of Sanford)
• Central Florida Cardiology Interpretations LLC

• Family Nurse Practitioner in Sanford, FL
• Providers in Sanford, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.