Individual provider Active NPI

Carol A Turner, PHD, RD, LD

  • Registered Dietitian
  • Las Cruces, NM
National Provider Identifier
1003147943
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
467 Issued in NM
Practice address
3012 Lookout Ridge Dr
Las Cruces, NM 88011-1640
Phone
(575) 541-5367
Fax
(575) 532-1928
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 655464 NM
Registered Dietitian 133V00000X 467 NM Primary

Addresses

Primary practice location

3012 Lookout Ridge Dr
Las Cruces, NM 88011-1640

Mailing address

PO Box 16199
Las Cruces, NM 88004-6199
Phone (575) 541-5367

Other identifiers 1

IdentifierTypeStateIssuer
000D3972MedicaidNM

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
655464NMMDRegistered Dietitian
467NMMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1003147943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16199",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046199",
            "telephone_number": "575-541-5367",
            "fax_number": "575-532-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 LOOKOUT RIDGE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111640",
            "telephone_number": "575-541-5367",
            "fax_number": "575-532-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "PHD, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "655464",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D3972",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.