Hadley Renee Carrero

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3014 E Signature Dr Apt 1104
Davie, FL 33314-6424

Phone

(772) 285-6603

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1932661360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 E SIGNATURE DR APT 1104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333146424",
            "telephone_number": "772-285-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 E SIGNATURE DR APT 1104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333146424",
            "telephone_number": "772-285-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERO",
        "first_name": "HADLEY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Olivia Carr-Hertel, ED.D, MS, OTR/L
• Claudia B Carralero Mayedo
• Catalina Carranza
• Zagala Carrasco
• Arianna Alexia Carrero
• Dana Carroll
• Tamara Carry
• Elisa Raquel Cartagena, M.S. CCC-SLP
• Bryanna Carter
• Deaundra Carter

• Physician Assistant in Davie, FL
• Providers in Davie, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.