Active NPI
Carmen Mays-Gold, FNP
- Registered Nurse
- Wyndmoor, PA
National Provider Identifier
1093168619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN254071L
- Practice address
- 7719 Flourtown Ave
Wyndmoor, PA 19038-8011 - Phone
- (267) 221-9759
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | RN254071L | PA | Primary |
Addresses
Primary practice location
7719 Flourtown Ave
Wyndmoor, PA 19038-8011
Mailing address
7719 Flourtown Ave
Wyndmoor, PA 19038-8011
Phone (267) 221-9759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN254071L | PA | MD | Registered Nurse |
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": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1093168619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7719 FLOURTOWN AVE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190388011",
"telephone_number": "267-221-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7719 FLOURTOWN AVE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190388011",
"telephone_number": "267-221-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS-GOLD",
"first_name": "CARMEN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN254071L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.