Individual provider Active NPI

Andrea Kay Carafelli, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Saint Clair Shores, MI
National Provider Identifier
1003957309
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
4704239562 Issued in MI
Practice address
25401 Harper Ave Ste 2
Saint Clair Shores, MI 48081-2248
Phone
(586) 466-6912
Fax
(586) 498-8581
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 4704239562 MI Primary

Addresses

Primary practice location

25401 Harper Ave Ste 2
Saint Clair Shores, MI 48081-2248

Mailing address

1705 Marlowe Ave
Rochester Hills, MI 48307-5578
Phone (586) 498-8581

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704239562MIMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1003957309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MARLOWE AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075578",
            "telephone_number": "586-498-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 HARPER AVE STE 2",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812248",
            "telephone_number": "586-466-6912",
            "fax_number": "586-498-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAFELLI",
        "first_name": "ANDREA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704239562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.