Carla Mae Spikowski, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1378442 Issued in FL

Practice address

1416 Pope PL
Lutz, FL 33549-5459

Phone

(813) 601-8701

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NE, TN3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NE, TN

  Medicare reassignment
• Niobrara Valley Hospital Corporation

  dba Niobrara Valley Hospital Medical Clinic

  • Family Medicine Physician
  • Spencer, NE
  • NPI 1467520270
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1699757468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 POPE PL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495459",
            "telephone_number": "813-601-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 POPE PL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495459",
            "telephone_number": "813-601-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIKOWSKI",
        "first_name": "CARLA",
        "middle_name": "MAE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1378442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Souverain
• Christopher Michael Spall, LMHC CAP
• Dana Spears
• Lindsey Dambly Sperry, D.O.
• Braylee L Spiddle
• Hannah Spoo
• Sport and Spine Physical Therapy and Wellness Center, LLC
• Sports and Orthopedic Rehabilitation Services, Inc. (Select Physical Therapy)
• Sports and Orthopedic Rehabilitation Services, Inc.
• Spyglass Enterprises, Inc.

• Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.