Individual provider Active NPI

Sharon Rae Carter, PH.D.

  • Clinical Psychologist
  • Pagosa Springs, CO
National Provider Identifier
1134574791
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0003828 Issued in CO
Practice address
46 Eaton Dr Ste 3
Pagosa Springs, CO 81147-8228
Phone
(970) 398-0883
Fax
(877) 512-6720
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0003828 CO Primary
Clinical Psychologist 103TC0700X 21174 TX

Addresses

Primary practice location

46 Eaton Dr Ste 3
Pagosa Springs, CO 81147-8228

Mailing address

46 Eaton Dr Ste 3
Pagosa Springs, CO 81147-8228
Phone (970) 398-0883

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 14, 2014 through Nov 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0003828COMDClinical Psychologist
21174TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1134574791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478228",
            "telephone_number": "970-398-0883",
            "fax_number": "877-512-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478228",
            "telephone_number": "970-398-0883",
            "fax_number": "877-512-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SHARON",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0003828",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

Verify at the official NPI Registry.