Individual provider Active NPI

Carnett Petrona McNaught, REGISTERED NURSE

  • Registered Nurse
  • Hampton, GA
National Provider Identifier
1013515691
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9269026 Issued in FL
Practice address
436 Ryoaks Dr
Hampton, GA 30228-4923
Phone
(954) 515-6885
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9269026 FL Primary

Addresses

Primary practice location

436 Ryoaks Dr
Hampton, GA 30228-4923

Mailing address

436 Ryoaks Dr
Hampton, GA 30228-4923
Phone (954) 515-6885

Other names 1

  • Prof. Carnett McNaught Ray Professional name

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

State licenses

LicenseStateTypeSpecialty
9269026FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1013515691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 RYOAKS DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284923",
            "telephone_number": "954-515-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 RYOAKS DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284923",
            "telephone_number": "954-515-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAUGHT",
        "first_name": "CARNETT",
        "middle_name": "PETRONA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9269026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARNETT",
            "last_name": "MCNAUGHT RAY",
            "prefix": "PROF.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.