Carolyn V Lightner, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1655002 Issued in FL

Practice address

1621 NE Waldo Rd
Gainesville, FL 32609-3900

Phone

(352) 955-5913

Fax

(352) 955-5808

NPI assigned

Oct 2, 2013

Last updated

Nov 18, 2015By 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

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

State licenses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1659708899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 NE WALDO RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093900",
            "telephone_number": "352-955-5913",
            "fax_number": "352-955-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 NE WALDO RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093900",
            "telephone_number": "352-955-5913",
            "fax_number": "352-955-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "CAROLYN",
        "middle_name": "V",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "1655002",
            "primary": true
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "FL",
            "license": "ARNP1655002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Dance Inc
• Life Force Health and Wellness LL
• Life Line Home Care Inc
• Lifestyle Wellness, LLC
• Jennifer K. Light, MD
• Robin Lillie
• Donna J Lilly, ARNP
• Dustin Lucas Lilly, PA-C
• Shauna Renee Lillywhite, LMT
• Larissa A Lim, MD

• Primary Care Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.