Individual provider Active NPI

Kathleen Barry Carreiro, HS

  • Hearing Instrument Specialist
  • Merritt Island, FL
National Provider Identifier
1790409175
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5672 Issued in FL
Practice address
800 E Merritt Island Cswy
Merritt Island, FL 32952-3542
Phone
(321) 735-4942
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HS5672 FL
Hearing Instrument Specialist 237700000X AS5672 FL Primary

Addresses

Primary practice location

800 E Merritt Island Cswy
Merritt Island, FL 32952-3542

Mailing address

800 E Merritt Island Cswy Ste 104
Merritt Island, FL 32952-3514
Phone (321) 735-4942

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
Credentials
High School Graduate

State licenses

LicenseStateTypeSpecialty
HS5672FLMDSpecialist
AS5672FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Hearing Corporation USA Inc Hearing Instrument Specialist PastSince Oct 23, 2022 Accepting new patients
Audiology Distribution, LLC PastSince Oct 2, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1790409175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY STE 104",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523514",
            "telephone_number": "321-735-4942",
            "fax_number": "321-222-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523542",
            "telephone_number": "321-735-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREIRO",
        "first_name": "KATHLEEN",
        "middle_name": "BARRY",
        "credential": "HS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "HS5672",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.