Active NPI
Carrie E. Thrasher, RD
- Registered Dietitian
- Chinle, AZ
National Provider Identifier
1164776134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1069436
- Practice address
- Highway 191 and Hospital Road
Chinle, AZ 86503 - Phone
- (928) 674-7166
- Fax
- (928) 674-7705
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1069436 | Primary |
Addresses
Primary practice location
Highway 191 and Hospital Road
Chinle, AZ 86503
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1069439 | Other | CDR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1069439 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1164776134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX PH",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865038000",
"telephone_number": "928-674-7166",
"fax_number": "928-674-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 191 AND HOSPITAL ROAD",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7166",
"fax_number": "928-674-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "CARRIE",
"middle_name": "E.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1069436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "1069439",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.