Patricia E Carr, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209003187 Issued in IL

Practice address

1220 W Jackson St
Sullivan, IL 61951-1032

Phone

(217) 728-2042

Fax

(217) 728-2485

NPI assigned

Jun 21, 2005

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Irvington Township Rural Health Clinic LLC

  • Rural Health Clinic/Center
  • Hoyleton, IL
  • NPI 1295940062
  NPD (past)
• Jerry L. Beguelin, MD, PC

  dba Irvington Friendly Care, PC

  • Primary Care Clinic/Center
  • Irvington, IL
  • NPI 1922145002
  NPD (past)
• Specialized Wound Management LLC

  dba Specialized Wound Management

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1962430157
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1104822568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "GSBLL",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-2857",
            "fax_number": "217-876-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W JACKSON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511032",
            "telephone_number": "217-728-2042",
            "fax_number": "217-728-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig M Bretz, D.C.
• Charleigh Brown
• Valerie Brumfield
• Brett Bryden, BS, MHP
• Faisal Bukhari, MD SC
• Tabitha Jean Centers, BCBA
• Central Illinois Physical Therapy Professionals, LTD
• Holly Renee Clemons, M.D.
• David L Cole, LCSW, LPHA
• Community Homecare Inc

• Family Nurse Practitioner in Sullivan, IL
• Providers in Sullivan, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.

Verify at the official NPI Registry.