Individual provider Active NPI

Carl Barry Dufour, MSN, FNP-BC

  • Family Nurse Practitioner
  • Trenton, FL
National Provider Identifier
1912214099
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9362451 Issued in FL
Practice address
911 S Main St
Trenton, FL 32693-3239
Phone
(352) 463-2374
Fax
(352) 463-2726
NPI assigned
Sep 9, 2010
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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 ARNP9362451 FL Primary

Addresses

Primary practice location

911 S Main St
Trenton, FL 32693-3239

Mailing address

911 S Main St
Trenton, FL 32693-3239
Phone (352) 463-2374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1912214099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S MAIN ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933239",
            "telephone_number": "352-463-2374",
            "fax_number": "352-463-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S MAIN ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933239",
            "telephone_number": "352-463-2374",
            "fax_number": "352-463-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFOUR",
        "first_name": "CARL",
        "middle_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9362451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.