CAROLYN GRACE SHOOK (NPI# 1225093313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225093313 |
| Entity Type | Individual |
| Full Name | CAROLYN GRACE SHOOK |
| Other Name | CAROLYN GRACE CORNETTI |
| Credential | ARNP |
| Practice Address |
200 Nw 7 Avenue Fort Lauderdale FL 33311 |
| Mailing Address |
Po Box 862851 Orlando FL 32886-2851 |
| Practice Telephone | 9547596600 |
| Practice Fax Number | 9547596665 |
| Mailing Telephone | 9548474273 |
| Mailing Fax Number | 9548474245 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP1597042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134216906 | Carolyn Dawn Shook | Marriage & Family Therapist | 3551 Camino Mira Costa, Suite K, San Clemente, CA 92672-3508 | 2006-10-05 |
| Street Address |
200 NW 7 AVENUE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799187 | Joselyn M Mateo | Pediatrics | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-04-17 |
| 1306951959 | Astel B Wright | Internal Medicine | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-08-21 |
| 1528009339 | Ia B Zagvazdina | Internal Medicine | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-06-10 |
| 1669425260 | Meena A Jhatakia | Pediatrics | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-05-18 |
| 1376507285 | John B Berges | Internal Medicine | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-04-17 |
| 1467416370 | Denis Gravel | Family Medicine | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563446 | Tempes L Wood | Nurse Practitioner | 1881 Middle River Dr Apt 201, Fort Lauderdale, FL 33305-3555 | 2020-09-16 |
| 1093332140 | Joao Rodrigues | Nurse Practitioner | 725 Ne 14th St, Fort Lauderdale, FL 33304-1211 | 2020-07-05 |
| 1497388169 | Chessi Delaine Riner | Nurse Practitioner | 400 Sw 1st Ave Apt 2201, Fort Lauderdale, FL 33301-3493 | 2020-02-20 |
| 1235762097 | Lori Ellen Retterath | Nurse Practitioner | 1401 Ne 5th Ct, Fort Lauderdale, FL 33301-1269 | 2020-02-19 |
| 1164069720 | Amy Hilary Gordon | Nurse Practitioner | 1625 Se 3rd Ave # 502, Fort Lauderdale, FL 33316-2521 | 2019-12-03 |
| 1942843313 | Bableen Kaur Bajwa | Nurse Practitioner | 2699 Stirling Rd Ste B101, Fort Lauderdale, FL 33312-6546 | 2019-10-17 |
| 1184273443 | Jennifer Marie Holody | Nurse Practitioner | 1040 Ne 16th Ave Apt 2, Fort Lauderdale, FL 33304-2516 | 2019-09-10 |
| 1164994927 | Kristen Rothstein | Nurse Practitioner | 2504 Sw 14th Ave Apt 606, Fort Lauderdale, FL 33315-2256 | 2018-12-18 |
| 1235619107 | Isa Vazquez | Nurse Practitioner | 1930 Ne 47th St Ste 300, Fort Lauderdale, FL 33308-7729 | 2018-08-20 |
| 1669969911 | Lauri Deane | Nurse Practitioner | 100 N Federal Hwy # C2, Fort Lauderdale, FL 33301-1129 | 2018-04-21 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33311 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.