Active NPI
Carrie Davidoff Stucken, M.D.
- Pediatrics Physician
- Palm Beach, FL
National Provider Identifier
1992963508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME115676
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008970500 | Medicaid | FL |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115676 | FL | MD | Pediatrics Physician |
| 232822 | MA | MD | Pediatrics Physician |
| MD446607 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Palm Beach Gardens, FL
- NPI 1861574030
-
- Urgent Care Clinic/Center
- Palm Beach, FL
- NPI 1922685569
-
- Pediatrics Physician
- Boston, MA
- NPI 1619969920
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.