Individual provider Active NPI

Marcus Arnez Carter, R.N.

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1104452549
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
760621 Issued in TX
Practice address
10210 Cheeves Dr
Houston, TX 77016-3414
Phone
(832) 969-6239
NPI assigned
Mar 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 760621 TX Primary

Addresses

Primary practice location

10210 Cheeves Dr
Houston, TX 77016-3414

Mailing address

10210 Cheeves Dr.
Hosuton, TX 77016-3414
Phone (832) 969-6239

Other practice location 1

10210 Cheeves Dr
Houston, TX 77016-3414
Phone (832) 969-6239

Other practice location 2

10210 Cheeves Dr
Houston, TX 77016-3414
Phone (832) 969-6239

Other practice location 3

10210 Cheeves Dr.
Hosuton, TX 77016-3414
Phone (832) 969-6239

Other practice location 4

10210 Cheeves Dr
Houston, TX 77016-3414
Phone (832) 969-6239

Other identifiers 1

IdentifierTypeStateIssuer
87-0762436MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mac193603@gmail.com Health Information Exchange (HIE)

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
760621TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1104452549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 CHEEVES DR.",
            "city": "HOSUTON",
            "state": "TX",
            "postal_code": "770163414",
            "telephone_number": "832-969-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 CHEEVES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770163414",
            "telephone_number": "832-969-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10210 Cheeves Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770163414",
            "country_code": "US",
            "telephone_number": "832-969-6239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 Cheeves Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770163414",
            "country_code": "US",
            "telephone_number": "832-969-6239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 Cheeves Dr.",
            "address_purpose": "LOCATION",
            "city": "Hosuton",
            "state": "TX",
            "postal_code": "770163414",
            "country_code": "US",
            "telephone_number": "832-969-6239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 Cheeves Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770163414",
            "country_code": "US",
            "telephone_number": "832-969-6239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MARCUS",
        "middle_name": "ARNEZ",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "760621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-0762436",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mac193603@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10210 Cheeves Dr.",
            "city": "Hosuton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770163414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.