Individual provider Active NPI

Carla Seleme, MD

  • Internal Medicine Physician
  • Key West, FL
National Provider Identifier
1164576526
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90947 Issued in FL
Practice address
1200 Kennedy Dr
Suite 1028
Key West, FL 33040-4023
Phone
(305) 295-2840
Fax
(305) 295-2845
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90947 FL Primary

Addresses

Primary practice location

1200 Kennedy Dr
Suite 1028
Key West, FL 33040-4023

Mailing address

1200 Kennedy Dr
Suite 1028
Key West, FL 33040-4023
Phone (305) 295-2840

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1164576526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 KENNEDY DR",
            "address_2": "SUITE 1028",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404023",
            "telephone_number": "305-295-2840",
            "fax_number": "305-295-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KENNEDY DR",
            "address_2": "SUITE 1028",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404023",
            "telephone_number": "305-295-2840",
            "fax_number": "305-295-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEME",
        "first_name": "CARLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.