Active NPI
Carin Lynnae Wallace, FNP
- Family Nurse Practitioner
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F04180557
- Practice address
- 2439 Bee Ridge Rd
Sarasota, FL 34239-6304 - Phone
- (941) 222-2146
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F04180557 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | AP137578 | TX |
Addresses
Primary practice location
2439 Bee Ridge Rd
Sarasota, FL 34239-6304
Mailing address
2439 Bee Ridge Rd
Sarasota, FL 34239-6304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4764 E State Rd
Suite 64
Bradenton, FL 34208-9058
Phone (941) 343-0609
5985 Silver Falls Run
Suite 100
Lakewood Ranch, FL 34211-1290
Phone (888) 571-5463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F04180557 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Wellness Center Inc | Current | Accepting new patients | |
| Florida Woman Care, LLC | Current | Accepting new patients | |
| Longview Wellness Center, Inc | Current | Accepting new patients | |
| Longview Wellness Center, Inc | Current | Accepting new patients | |
| Women'S Care Florida LLC | Current | Accepting new patients | |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Current | Accepting new patients | |
| Longview Wellness Center Inc | Past | Accepting new patients | |
| Womencare PA | Past | Accepting new patients |
Locations
4764 E State Road 64
Bradenton, FL 34208
Phone (941) 343-0609
5985 Silver Falls Run
Ste 100
Lakewood Ranch, FL 34211
Phone (941) 202-2055
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814
3410 Tamiami Trl
Unit 1A
Port Charlotte, FL 33952
Phone (941) 343-0609
3400 Tamiami Trl
Ste 102
Pt Charlotte, FL 33952
Phone (941) 625-5855
2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609
2447 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 203-8931
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
411 Commercial Ct
Ste F
Venice, FL 34292
Phone (941) 343-0609
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763
1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151
705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 212-4763
825 Medical Dr
Tyler, TX 75701
Phone (903) 533-0733
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
825 Medical Dr
Ste A
Tyler, TX 75701
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- carin.wallace@wcfnf.eclinicaldirectplus.com
- carinwallace@wp.medalliesdirect.net
Organizations & group practices 9
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1942269493
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1255137659
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1023426665
-
- Specialist
- Orlando, FL
- NPI 1366529042
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1447910542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769904000000",
"number": "1891288742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396304",
"telephone_number": "941-222-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "CARIN",
"middle_name": "LYNNAE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2026-02-01",
"certification_date": "2026-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F04180557",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.