Paula H. Carralero, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

216580 Issued in SC

Practice address

104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335

Phone

(843) 903-5392

Fax

(843) 903-5432

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1679181812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 PALMINA LOOP UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295889059",
            "telephone_number": "203-927-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GEORGE BISHOP PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797335",
            "telephone_number": "843-903-5392",
            "fax_number": "843-903-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRALERO",
        "first_name": "PAULA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "216580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Hearing Group LLC (Miracle-Ear Centers)
• Kassandra Jean Carpenter, AA
• Kristen Blackburn Carr, M.D.
• Michael Dennis Carr Jr., PA-C
• Joseph Carrado
• Brittany Danielle Carroll
• Miriam Grace Carroll, REGISTERED NURSE
• Robert Carrow, APN
• Kristina Nicole Carswell, MD
• Briana Rachel Carter, DO

• Addiction (Substance Use Disorder) Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Addiction (Substance Use Disorder) Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.