Clarita Esther Carrillo

Primary specialty

SpecialistTaxonomy code 174400000X

License

ARNP3285582 Issued in FL

Practice address

1926 10TH Ave N
Suite 202
Lake Worth, FL 33461-3369

Phone

(561) 588-4844

Fax

(561) 588-3655

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Boca Medical Specialists, Inc

  • Hospitalist Physician
  • Tamarac, FL
  • NPI 1265453419
  NPD (past)
• West Palm Beach Physician Group Inc

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1235231465
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1336328418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N",
            "address_2": "SUITE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613369",
            "telephone_number": "561-588-4844",
            "fax_number": "561-588-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N",
            "address_2": "SUITE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613369",
            "telephone_number": "561-588-4844",
            "fax_number": "561-588-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CLARITA",
        "middle_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ARNP3285582",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3285582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts Ahs Inc
• Carmi Y Stadlan, M.D. P.a. (Cardiac Surgery of the Palm Beaches)
• Caroline J. Connelly,Ms/CCC-SLP,PC;PA
• Joanna M Carpenter, LMT
• Janete Carr
• Jesse James Carroll, RRT
• Marianne Carroll, DO
• Sandra Lynn Carroll
• Ashley Carry, MSW, BA
• Idanelys Cartaya Cano

• Specialist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.