Active NPI
Carol Spivey, ARNP
- Family Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1942267729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2158032
- Practice address
- 2433 Mahan Dr
Dermatology Advanced Care
Tallahassee, FL 32308-5329 - Phone
- (850) 219-8811
- Fax
- (850) 219-8883
- NPI assigned
- Apr 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2158032 | FL | Primary |
Addresses
Primary practice location
2433 Mahan Dr
Dermatology Advanced Care
Tallahassee, FL 32308-5329
Mailing address
2433 Mahan Dr
Dermatology Advanced Care
Tallahassee, FL 32308-5329
Phone (850) 219-8811
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2158032 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Primary Care Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1972661262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1942267729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2433 MAHAN DR",
"address_2": "DERMATOLOGY ADVANCED CARE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085329",
"telephone_number": "850-219-8811",
"fax_number": "850-219-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2433 MAHAN DR",
"address_2": "DERMATOLOGY ADVANCED CARE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085329",
"telephone_number": "850-219-8811",
"fax_number": "850-219-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "CAROL",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2158032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.