Caroll Virginia Sengelmann, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9106541 Issued in FL

Practice address

14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590

Phone

(305) 823-7768

Fax

(305) 823-2211

NPI assigned

May 3, 2012

Last updated

Apr 25, 2022By 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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: caroll.sengelmann.1@19861.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19861/brand/1/csg/1/fhir/r4

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.

• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Miami, FL
  • NPI 1083202550
  NPD (past)
• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Miami Lakes, FL
  • NPI 1861059248
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1659630143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 W Flagler St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301055",
            "country_code": "US",
            "telephone_number": "305-326-8887",
            "fax_number": "855-636-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENGELMANN",
        "first_name": "CAROLL",
        "middle_name": "VIRGINIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9106541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024245200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9106541",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selection Rehab Inc
• Lissette Selem, PHYSICIAN/MD
• Lourdes M Selem, MEDICAL DOCTOR
• Daimary Lisette Selles
• Selta Express Services Corp
• Senior in-Home Care Plus LLC (Senior Helpers Miami-Dade)
• Senior Rehab Systems Inc (Superior Rehab Systems Inc)
• Serena Wellness
• Serena Wellness LLC
• Susan Serpa, SLP

• Physician Assistant in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.