Individual provider Active NPI

Mary D Carman, ARNP

  • Nurse Practitioner
  • Midway, KY
National Provider Identifier
1154322154
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3277P Issued in KY
Practice address
129 S Winter St
Midway, KY 40347-1015
Phone
(859) 846-4445
Fax
(859) 846-4761
NPI assigned
Aug 2, 2005
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3277P KY Primary

Addresses

Primary practice location

129 S Winter St
Midway, KY 40347-1015

Mailing address

PO Box 277
Midway, KY 40347-0277
Phone (859) 846-4445

Other identifiers 1

IdentifierTypeStateIssuer
78004876MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20100828000070 KY Practitioner - Nurse Practitioner 4082738935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3277PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Family Health Care, PLLC PastSince Jul 1, 2002 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1154322154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403470277",
            "telephone_number": "859-846-4445",
            "fax_number": "859-846-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S WINTER ST",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403471015",
            "telephone_number": "859-846-4445",
            "fax_number": "859-846-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3277P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004876",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, KY

Sources for this page

Verify at the official NPI Registry.