Active NPI
Carly Kerbyson
- Chore Provider
- Wyoming, MI
National Provider Identifier
1013760180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 2338 Byron Center Ave SW Apt 5
Wyoming, MI 49519-1697 - Phone
- (909) 499-0336
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
2338 Byron Center Ave SW Apt 5
Wyoming, MI 49519-1697
Mailing address
2338 Byron Center Ave SW Apt 5
Wyoming, MI 49519-1697
Phone (909) 499-0336
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1013760180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 BYRON CENTER AVE SW APT 5",
"city": "WYOMING",
"state": "MI",
"postal_code": "495191697",
"telephone_number": "909-499-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 BYRON CENTER AVE SW APT 5",
"city": "WYOMING",
"state": "MI",
"postal_code": "495191697",
"telephone_number": "909-499-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERBYSON",
"first_name": "CARLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.