Individual provider Active NPI

Carl Thomas Rountree II, APRN, FNP-BC

  • Family Nurse Practitioner
  • Mount Dora, FL
National Provider Identifier
1699318865
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005182 Issued in FL
Practice address
18550 US Highway 441 Ste a
Mount Dora, FL 32757-6751
Phone
(352) 735-3755
Fax
(352) 735-3151
NPI assigned
Oct 21, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005182 FL Primary
Registered Nurse 163W00000X RN9384996 FL
Medical-Surgical Registered Nurse 163WM0705X RN9384996 FL

Addresses

Primary practice location

18550 US Highway 441 Ste a
Mount Dora, FL 32757-6751

Mailing address

8 Truman Blvd
Beverly Hills, FL 34465-4033
Phone (352) 601-2019

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106001055 FL Practitioner - Nurse Practitioner 7113351875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

502 W Highland Blvd
(HCA Florida Citrus Hospital)
Inverness, FL 34452-4720
Phone (352) 726-1551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9384996FLMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Nov 24, 2023 Accepting new patients
Physicians of Mid Florida LLC CurrentSince May 17, 2022 Accepting new patients
Physicians of Central Florida PA CurrentSince Nov 23, 2019 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Aug 2, 2023 Accepting new patients
Physicians of Central Florida, LLC CurrentSince Nov 23, 2019 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

18550 US Highway 441
Ste A
Mount Dora, FL 32757
Phone (352) 735-3755

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1936 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (352) 350-3440

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1699318865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TRUMAN BLVD",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654033",
            "telephone_number": "352-601-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441 STE A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "CARL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005182",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9384996",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9384996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.