Active NPI
Thomas R Carr, RN BSN CNOR CRNFA
- Registered Nurse
- Little Rock, AR
National Provider Identifier
1043247927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R16136
- Practice address
- 2 Shackleford West Blvd
Little Rock, AR 72211-3755 - Phone
- (501) 666-2894
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R16136 | AR | Primary |
Addresses
Primary practice location
2 Shackleford West Blvd
Little Rock, AR 72211-3755
Mailing address
17 Campden Hill Rd
Sherwood, AR 72120-6536
Phone (501) 834-7501
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R16136 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043247927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CAMPDEN HILL RD",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721206536",
"telephone_number": "501-834-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHACKLEFORD WEST BLVD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113755",
"telephone_number": "501-666-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RN BSN CNOR CRNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R16136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.