Carolyn J Macias, MSN APRN FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009364 Issued in FL

Practice address

11322 SE 55TH Avenue Rd Unit 901
Belleview, FL 34420-3749

Phone

(352) 653-8248

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

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

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

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Norman S Novis MD PA

  • Internal Medicine Physician
  • Lady Lake, FL
  • NPI 1316290042
  Medicare reassignment NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1851908677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11322 SE 55TH AVENUE RD UNIT 901",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203749",
            "telephone_number": "352-653-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11322 SE 55TH AVENUE RD UNIT 901",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203749",
            "telephone_number": "352-653-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "MSN APRN FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Lea Lockwood
• Celiani Lopez
• Lubis Enterprise LLC
• Jacqueline A Lucke, CCCSLP
• Brooke Nichole Macdonald
• Elizabeth F Macleod, DC
• Marcus Alan Mallory, PHARMD
• Yanisse Ivette Marin
• Jordan Markoski
• Elizabeth Dorothy Martin

• Family Nurse Practitioner in Belleview, FL
• Providers in Belleview, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.