Individual provider Active NPI

Carla Blanc, ARNP

  • Family Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1750832036
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9316937 Issued in FL
Practice address
750 E Sample Rd Bay 6
Pompano Beach, FL 33064-5144
Phone
(954) 943-8737
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9316937 FL Primary

Addresses

Primary practice location

750 E Sample Rd Bay 6
Pompano Beach, FL 33064-5144

Mailing address

750 E Sample Rd Bay 6
Pompano Beach, FL 33064-5144
Phone (954) 943-8737

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
I20180105001440 FL Practitioner - Nurse Practitioner 5991064545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cary M Zinkin DPM, PA CurrentSince Sep 23, 2021 Accepting new patients

Locations

1300 Concord Ter
Ste 210
Sunrise, FL 33323

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1750832036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD BAY 6",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "954-943-8737",
            "fax_number": "954-943-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD BAY 6",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "954-943-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANC",
        "first_name": "CARLA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9316937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.