Individual provider Active NPI

Carolyne Chebet Limo, NP

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1093064651
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
767889 Issued in TX
Practice address
6300 Samuell Blvd
Suite 120
Dallas, TX 75228-7137
Phone
(214) 381-1910
Fax
(214) 381-2868
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 767889 TX Primary

Addresses

Primary practice location

6300 Samuell Blvd
Suite 120
Dallas, TX 75228-7137

Mailing address

11805 Indian Pony Way
Fort Worth, TX 76244-5298
Phone (515) 988-3230

Other names 1

  • Carolyne Cheruiyot Former 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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
767889TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Olivieri Professional Health Network LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1093064651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 INDIAN PONY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445298",
            "telephone_number": "515-988-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD",
            "address_2": "SUITE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287137",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMO",
        "first_name": "CAROLYNE",
        "middle_name": "CHEBET",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "767889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYNE",
            "last_name": "CHERUIYOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.