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CAROLINA VERSAILLE MD
NPI 1972180487
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 29, 2021PECOS Enrolled
22 S GREENE ST RM N3W62, BALTIMORE, MD 21201(410) 328-5780 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Nov 2, 2021, Mar 29, 2021 (3 updates tracked since 2021).

About Carolina Versaille Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA VERSAILLE MD (NPI 1972180487) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972180487
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINA VERSAILLECredential: MD
Location Address22 S GREENE ST RM N3W62Baltimore, MD 21201-1544
Mailing Address281 1st AveNew York, NY 10003-2925 · (212) 420-2000
Phone(410) 328-5780
Sole ProprietorYes
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1972180487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22 S GREENE ST RM N3W62, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Versaille Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Versaille's NPI number?

The NPI number for Carolina Versaille is 1972180487. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Carolina Versaille located?

Carolina Versaille practices at 22 S Greene St Rm N3w62, Baltimore, MD 21201. The listed phone number is (410) 328-5780.

What is Carolina Versaille's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolina Versaille enrolled in Medicare?

Yes. Carolina Versaille is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolina Versaille was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.