Individual provider Active NPI

Carol Harp Norman, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1164574836
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00091 Issued in TX
Practice address
5228 W Plano Pkwy
Plano, TX 75093-5005
Phone
(972) 250-5700
Fax
(972) 250-5747
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

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)
Enrolled
Credentials
Physician Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00091 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

5228 W Plano Pkwy
Plano, TX 75093-5005

Mailing address

1900 Jubilee Rd
Plano, TX 75093-4503
Phone (972) 250-5700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PA00091OtherTXTEXAS STATE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2008.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1164574836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 JUBILEE RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934503",
            "telephone_number": "972-250-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5700",
            "fax_number": "972-250-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "CAROL",
        "middle_name": "HARP",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "PA00091",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.