Active NPI
Helene Dicaro, PA
- Medical Physician Assistant
- Loxahatchee, FL
National Provider Identifier
1376785675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101767
- Practice address
- 13005 Southern Boulevard 221
Loxahatchee, FL 33470 - Phone
- (561) 798-8184
- Fax
- (561) 793-2588
- NPI assigned
- Apr 1, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9101767 | FL | Primary |
Addresses
Primary practice location
13005 Southern Boulevard 221
Loxahatchee, FL 33470
Mailing address
12866 Hampton Lakes Cir
Boynton Beach, FL 33436-8203
Phone (561) 504-2195
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110406000670 | FL | Order and Referring Only - Physician Assistant | 0648329334 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101767 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1376785675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12866 HAMPTON LAKES CIR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334368203",
"telephone_number": "561-504-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13005 SOUTHERN BOULEVARD 221",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "33470",
"telephone_number": "561-798-8184",
"fax_number": "561-793-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICARO",
"first_name": "HELENE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.