Active NPI
Kathleen Barry Carreiro, HS
- Hearing Instrument Specialist
- Merritt Island, FL
National Provider Identifier
1790409175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| HS5672 | FL | MD | Specialist |
| AS5672 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Hearing Corporation USA Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Audiology Distribution, LLC | Past | 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.
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
Hearing Instrument Specialist
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
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.