Ivy McKenzie Carson, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704279990 Issued in MI

Practice address

8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496

Phone

(909) 962-1260

Fax

(323) 307-7140

NPI assigned

Feb 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

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.

• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Parsley Medical PC

  • General Practice Physician
  • West Hollywood, CA
  • NPI 1952973422
  NPD (past)
• Cloud Health Medical Group of New Jersey, P.C.

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1043995467
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Parsley Medical Group FL PA

  dba Parsley Medical Group of MT

  • General Practice Physician
  • Billings, MT
  • NPI 1174380547
  NPD (past)
• Parsley Medical Group FL PA

  • General Practice Physician
  • Orlando, FL
  • NPI 1437722436
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1023409034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "909-962-1260",
            "fax_number": "323-307-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "909-962-1260",
            "fax_number": "323-307-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 W Tilghman St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181044158",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Changebridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "070589839",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7014 13th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112281604",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Corporate Campus Dr Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402234060",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 24th St W Ste 125",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591023895",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 S Semoran Blvd Ste 36",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221782",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 W 1st St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021382",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 S Tejon St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032207",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Spectrum Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787174555",
            "country_code": "US",
            "telephone_number": "866-824-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "IVY",
        "middle_name": "MCKENZIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704279990",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704279990",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704279990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Carlton, MD
• Carragher Osteopathic Inc.
• William Michael Carragher III, D.O.
• Carrie R Schwartz Chiropractic, PC (Concierge Chiropractic)
• Chelsea Carroll
• Chiara Casas, NP
• Jonathan Casler, MPT
• Suzanne Cassel, MD
• Brian Jospeh Cassmassi, M.D.
• Cast Centers LLC

• Primary Care Nurse Practitioner in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.