Carrie Ann Davila, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105629 Issued in FL

Practice address

1397 Medical Park Blvd Ste 220
Wellington, FL 33414-3187

Phone

(561) 784-0202

Fax

(561) 641-7732

NPI assigned

Jan 20, 2011

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Ann Losito Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment
• Center for Orthopedic and Spinal Surgery LLC

  • Specialist
  • North Palm Beach, FL
  • NPI 1922366699
  NPD (past)

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1376848457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 220",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "561-784-0202",
            "fax_number": "561-641-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 220",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "561-784-0202",
            "fax_number": "561-641-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LOSITO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Enid Darling, M.D.
• Jeanine M Darquea, PA-C
• Kishore Kumar Dass, M.D.
• Leigh Anne Davanzo
• David Crowell MD LLC (Crowell Eye Centre)
• Mitchell N. Davis, D.O.
• Virginia Renee Davis, M.S., SLP
• Martavius Lee Dawkins
• Kayla De Barry
• Adelheid De la Luz Lorenzo

• Physician Assistant in Wellington, FL
• Providers in Wellington, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.

Verify at the official NPI Registry.