Active NPI
Deshae Gusella Carter
- Developmental Therapist
- Pompano, FL
National Provider Identifier
1649545898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 100346182
- Practice address
- 2708 NE 14TH Street, Suite 5
Pompano, FL 33062 - Phone
- (888) 880-9270
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 100346182 | SC | Primary |
Addresses
Primary practice location
2708 NE 14TH Street, Suite 5
Pompano, FL 33062
Mailing address
3509 Lake Ave
Apt 1151
Columbia, SC 29206-5606
Phone (803) 450-9018
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100346182 | SC | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1649545898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 LAKE AVE",
"address_2": "APT 1151",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292065606",
"telephone_number": "803-450-9018",
"fax_number": "803-497-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 NE 14TH STREET, SUITE 5",
"city": "POMPANO",
"state": "FL",
"postal_code": "33062",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "DESHAE",
"middle_name": "GUSELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "SC",
"license": "100346182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.