Active NPI
Carol G Price, FNP, PMHNP
- Family Nurse Practitioner
- Tyler, TX
National Provider Identifier
1093091993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP120758
- Practice address
- 3702 Pine Bluff Cir
Tyler, TX 75707-1736 - Phone
- (903) 521-9137
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP120758 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP120758 | TX |
Addresses
Primary practice location
3702 Pine Bluff Cir
Tyler, TX 75707-1736
Mailing address
3702 Pine Bluff Cir
Tyler, TX 75707-1736
Phone (903) 521-9137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starks Medical | Past | Accepting new patients |
Interoperability endpoints
- cprice354943@ahs.direct-ci.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.
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1093091993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 PINE BLUFF CIR",
"city": "TYLER",
"state": "TX",
"postal_code": "757071736",
"telephone_number": "903-521-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 PINE BLUFF CIR",
"city": "TYLER",
"state": "TX",
"postal_code": "757071736",
"telephone_number": "903-521-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "CAROL",
"middle_name": "G",
"credential": "FNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP120758",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP120758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.