Individual provider Active NPI

Carly Jane Honse

  • School Registered Nurse
  • Maricopa, AZ
National Provider Identifier
1134090186
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
281636 Issued in AZ
Practice address
42623 W Hillman Dr
Maricopa, AZ 85138-1614
Phone
(480) 650-5317
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 281636 AZ
Pediatric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0200X 281636 AZ
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X 281636 AZ Primary

Addresses

Primary practice location

42623 W Hillman Dr
Maricopa, AZ 85138-1614

Mailing address

42623 W Hillman Dr
Maricopa, AZ 85138-1614
Phone (480) 650-5317

Other practice location 1

4035 W Alameda Rd
Glendale, AZ 85310-3304
Phone (623) 445-4700

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

State licenses

LicenseStateTypeSpecialty
281636AZMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Elementary PastSince Sep 15, 2024 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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1134090186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42623 W HILLMAN DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381614",
            "telephone_number": "480-650-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42623 W HILLMAN DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381614",
            "telephone_number": "480-650-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 W Alameda Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853103304",
            "country_code": "US",
            "telephone_number": "623-445-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONSE",
        "first_name": "CARLY",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "281636",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AZ",
            "license": "281636",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "281636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.