Individual provider Active NPI

Carolyn A Houss, D.O.

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1114913308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5563 Issued in FL
Practice address
3345 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410-4304
Phone
(561) 622-2022
Fax
(561) 622-6775
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5563 FL Primary

Addresses

Primary practice location

3345 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410-4304

Mailing address

3345 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410-4304
Phone (561) 622-2022

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000779 FL Practitioner - Family Practice 7618127796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS5563FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114913308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104304",
            "telephone_number": "561-622-2022",
            "fax_number": "561-622-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104304",
            "telephone_number": "561-622-2022",
            "fax_number": "561-622-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSS",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.