Mayda Engracia Carrillo, RN DOM NMD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP712 Issued in FL

Practice address

1201 Sheridan Rd
Clearwater, FL 33755-1430

Phone

(727) 449-9090

Fax

(727) 449-9090

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Alternative Health Therapies Inc

  • Acupuncturist
  • Clearwater, FL
  • NPI 1487881389
  NPD (past) Authorized official
• Alternative Health Therapies, Inc

  • Health Service Clinic/Center
  • Clearwater, FL
  • NPI 1457685646
  NPD (past) Authorized official

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1790742302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SHERIDAN RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33755",
            "telephone_number": "727-449-9090",
            "fax_number": "727-449-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SHERIDAN RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551430",
            "telephone_number": "727-449-9090",
            "fax_number": "727-449-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MAYDA",
        "middle_name": "ENGRACIA",
        "name_prefix": "Ms.",
        "credential": "RN DOM NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1451192",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP712",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "DC",
            "license": "NAT1000736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Carpentier, FNP-C
• Jane Carr, LCSW
• Tracy Lynn Carr, ARNP
• Joseph Carragher, D.O.
• Esterina Leanne Carriera, LMHC
• Adriana Carrion
• Teresa Lynn Carroll, CRNA
• Jamie Dawn Carson, FNP-C
• Kelly Carter-Feller
• Helen Renee Carter-Gura

• Acupuncturist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.