Carol J Banker, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9252002 Issued in FL

Practice address

4700 N Habana Ave
Suite 103
Tampa, FL 33614-7160

Phone

(813) 348-0224

Fax

(813) 872-6792

NPI assigned

Jul 13, 2006

Last updated

May 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Pedersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  dba Aspirus Perinatology Clinic

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  • Wausau, WI
  • NPI 1942084199
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1922023761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 W KANSAS AVE",
            "address_2": "UNIT C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296297",
            "telephone_number": "715-573-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-348-0224",
            "fax_number": "813-872-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9252002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "PEDERSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Bandhu, AGPCNP-BC
• Dennis Francis Bandyk, MD
• Kaeli Bane, BA
• Pushpal Rocky Banerjee, DO
• Zahra Bangash
• Olayinka Abiodun Bankole, MD
• Cynthia Banks
• Jamarkis Banks
• Maureen Ann Banks, LMHC
• Teeyauda Banks

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.