Active NPI
Neill M. Carter, FNP
- Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1023088705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 620336
- Practice address
- 5902 66TH St
Lubbock, TX 79424-3048 - Phone
- (806) 797-2139
- Fax
- (806) 797-3105
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 620336 | TX | Primary |
Addresses
Primary practice location
5902 66TH St
Lubbock, TX 79424-3048
Mailing address
PO Box 16626
Lubbock, TX 79490-6626
Phone (806) 797-2139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172053401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger J. Wolcott, M.D., P.a. | Current | Accepting new patients |
Locations
4321 Marsha Sharp Fwy
Lubbock, TX 79407
Phone (806) 701-5858
5902 66th St
Lubbock, TX 79424
Phone (806) 793-3999
5902 66th St
Unit B
Lubbock, TX 79424
Phone (806) 797-2139
Interoperability endpoints
- neill.carter@direct.myteamcare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Lubbock, TX
- NPI 1356521892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1023088705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16626",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794906626",
"telephone_number": "806-797-2139",
"fax_number": "806-797-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5902 66TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243048",
"telephone_number": "806-797-2139",
"fax_number": "806-797-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "NEILL",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "620336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172053401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.