Carolina Gimenez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113868 Issued in FL

Practice address

3708 N Ocean Blvd
Ft Lauderdale, FL 33308-6451

Phone

(954) 909-4998

NPI assigned

Sep 28, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: cgimenez@pdp.emadirect.md

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1659043735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 N OCEAN BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086451",
            "telephone_number": "954-909-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 N OCEAN BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086451",
            "telephone_number": "954-909-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMENEZ",
        "first_name": "CAROLINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Patricia Gillies
• Curtis Wilson Gillis, LCSW
• Danielle Sarah Gillman
• Rose F Gilot
• Paul H Gilwit, MD
• Gina Joyreyes, Psy.D., PLLC
• Natalie Elizabeth Ginart, M.S.P.T.
• Ginny Berg, LCSW, Inc.
• Brendan Kyle Ginsberg, DO
• Julia Paige Ginter, CCC-SLP

• Medical Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.