Individual provider Active NPI

Hannah Ilene Cardarelli, SA-C

  • Surgical Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1427430354
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
14574 Issued in CO
Practice address
14555 Springside LN
Delray Beach, FL 33484
Phone
(406) 370-6659
NPI assigned
Jun 27, 2015
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 14574 CO Primary

Addresses

Primary practice location

14555 Springside LN
Delray Beach, FL 33484

Mailing address

14555 Springside LN
Delray Beach, FL 33484-3626

Other practice location 1

1930 NE 47th St
Suite 200
Fort Lauderdale, FL 33308-7718
Phone (954) 771-4251

Other practice location 2

1930 NE 47th St
Suite 200
Fort Lauderdale, FL 33308-7718
Phone (954) 771-4251

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14574COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
F Gary Gieseke MD PA PastSince Jun 8, 1992 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1427430354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 SPRINGSIDE LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 SPRINGSIDE LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "406-370-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 NE 47th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333087718",
            "country_code": "US",
            "telephone_number": "954-771-4251",
            "fax_number": "954-491-4892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 NE 47th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333087718",
            "country_code": "US",
            "telephone_number": "954-771-4251",
            "fax_number": "954-491-4892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDARELLI",
        "first_name": "HANNAH",
        "middle_name": "ILENE",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "14574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.