Individual provider Active NPI

Carmen Alitza Harrison, ARNP, FNP-BC

  • Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1770066672
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9275222 Issued in FL
Practice address
3501 West Dr
Deerfield Beach, FL 33442-2000
Phone
(954) 426-1000
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9275222 FL Primary

Addresses

Primary practice location

3501 West Dr
Deerfield Beach, FL 33442-2000

Mailing address

23276 Mirabella Cir N
Boca Raton, FL 33433-6126
Phone (561) 603-3813

Other practice location 1

16244 S Military Trl Ste 470
Delray Beach, FL 33484-6532
Phone (561) 865-5151

Other practice location 2

1500 E Hillsboro Blvd Ste 201
Deerfield Beach, FL 33441-4348
Phone (954) 426-1000

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
I20190128000238 FL Practitioner - Nurse Practitioner 9032456272 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9275222FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unimed Health Care LLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

3501 West Dr
Ste B
Deerfield Beach, FL 33442
Phone (954) 251-6051

1500 E Hillsboro Blvd
Ste 201
Deerfield Beach, FL 33441
Phone (954) 421-8666

3501 West Dr
Deerfield Beach, FL 33442
Phone (954) 426-1000

Interoperability endpoints

  • Direct secure messaging: carmen.harrison@451.emedpractice.direct-ci.com

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1770066672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23276 MIRABELLA CIR N",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336126",
            "telephone_number": "561-603-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WEST DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334422000",
            "telephone_number": "954-426-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16244 S Military Trl Ste 470",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846532",
            "country_code": "US",
            "telephone_number": "561-865-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Hillsboro Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334414348",
            "country_code": "US",
            "telephone_number": "954-426-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CARMEN",
        "middle_name": "ALITZA",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9275222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.