Individual provider Active NPI

Carrie Davidoff Stucken, M.D.

  • Pediatrics Physician
  • Palm Beach, FL
National Provider Identifier
1992963508
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME115676 Issued in FL
Practice address
324 Royal Palm Way Ste 100
Palm Beach, FL 33480-4325
Phone
(561) 560-7600
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD446607 PA
Pediatrics Physician 208000000X ME115676 FL Primary
Pediatrics Physician 208000000X 232822 MA

Addresses

Primary practice location

324 Royal Palm Way Ste 100
Palm Beach, FL 33480-4325

Mailing address

324 Royal Palm Way Ste 100
Palm Beach, FL 33480-4325
Phone (561) 560-7600

Other identifiers 1

IdentifierTypeStateIssuer
008970500MedicaidFL

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115676FLMDPediatrics Physician
232822MAMDPediatrics Physician
MD446607PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of Palm Beach County, PA Pediatrics Past Accepting new patients
Child Health Foundation of Boston, Inc. Pediatrics Past Accepting new patients
Sollis Health FL Inc PastSince Sep 4, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carrie.stucken.1@646.direct.athenahealth.com

Organizations & group practices 3

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1992963508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ROYAL PALM WAY STE 100",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804325",
            "telephone_number": "561-560-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ROYAL PALM WAY STE 100",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804325",
            "telephone_number": "561-560-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEN",
        "first_name": "CARRIE",
        "middle_name": "DAVIDOFF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD446607",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115676",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "232822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008970500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.