Individual provider Active NPI

Carla J Transue, FNP

  • Family Nurse Practitioner
  • Crescent City, CA
National Provider Identifier
1174653117
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5255 Issued in AZ
Practice address
1675 Northcrest Dr
Crescent City, CA 95531
Phone
(707) 464-2583
NPI assigned
Mar 7, 2007
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9540 CA
Family Nurse Practitioner 363LF0000X AP5255 AZ Primary

Addresses

Primary practice location

1675 Northcrest Dr
Crescent City, CA 95531

Mailing address

3662 W Ina Rd Ste 150
Tucson, AZ 85741-2269
Phone (520) 900-7020

Other identifiers 3

IdentifierTypeStateIssuer
9540OtherCAFNP LICENSE
RN538654OtherCARN LICENSE
AP5255OtherAZFNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160208000384 AZ Practitioner - Nurse Practitioner 7517107832 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5255AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Oct 15, 2023 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Mar 10, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
United Indian Health Services, Inc. PastSince Jun 24, 2013 Accepting new patients
United Indian Health Services, Inc. PastSince Jun 24, 2013 Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

6238 E Pima St
Tucson, AZ 85712
Phone (520) 290-0022

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: carla.transuefnp.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 5

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1174653117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 W INA RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412269",
            "telephone_number": "520-900-7020",
            "fax_number": "520-979-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-464-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANSUE",
        "first_name": "CARLA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "9540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN538654",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "AP5255",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.