Individual provider Active NPI

Caroline Girello, L.AC

  • Health Maintenance Organization
  • Pembroke Pines, FL
National Provider Identifier
1962682484
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AP2483 Issued in FL
Practice address
1641 NW 110TH Ter
Pembroke Pines, FL 33026-2722
Phone
(954) 401-0767
Fax
(954) 431-7399
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AP2483 FL Primary

Addresses

Primary practice location

1641 NW 110TH Ter
Pembroke Pines, FL 33026-2722

Mailing address

1641 NW 110TH Ter
Pembroke Pines, FL 33026-2722
Phone (954) 401-0767

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

State licenses

LicenseStateTypeSpecialty
AP2483FLMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1962682484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 NW 110TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262722",
            "telephone_number": "954-401-0767",
            "fax_number": "954-431-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 NW 110TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262722",
            "telephone_number": "954-401-0767",
            "fax_number": "954-431-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRELLO",
        "first_name": "CAROLINE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "AP2483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.