Individual provider Active NPI

Carol B. Lieberman, ARNP

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1891774642
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1185222 Issued in FL
Practice address
2201 S Ocean Dr
1001
Hollywood, FL 33019-2539
Phone
(305) 968-4474
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 ARNP1185222 FL Primary

Addresses

Primary practice location

2201 S Ocean Dr
1001
Hollywood, FL 33019-2539

Mailing address

2201 S. Ocean Drive
Apt 1001
Hollywood, FL 33019
Phone (305) 968-4474

Other identifiers 2

IdentifierTypeStateIssuer
Y6819OtherFLBCBS
302207200MedicaidFL

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
I20041103000804 FL Practitioner - Nurse Practitioner 3577525278 Reassigns benefits to 1 organization
Practice locations: Hollywood, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ferris State College - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 S Ocean Dr
Apt 1001
Hollywood, FL 33019-2519
Phone (305) 968-4474

Hospital & facility affiliations

  • Goldencare Home Health Agency Inc Home health agency, Plantation, FL, CCN 108295
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1891774642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S. OCEAN DRIVE",
            "address_2": "APT 1001",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33019",
            "telephone_number": "305-968-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S OCEAN DR",
            "address_2": "1001",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192539",
            "telephone_number": "305-968-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "CAROL",
        "middle_name": "B.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1185222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y6819",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302207200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.