Carol Elaine Stewart, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP5196 Issued in AZ

Practice address

12 N Woodland Rd
Lakeside, AZ 85929-6563

Phone

(928) 940-0809

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Elaine Stewart Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Your Family Practice Team PCGroup PAC ID 5395734032, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Healthcare Home Health Home health agency, Show Low, AZ, CCN 037027
• Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.stewart.1@16163.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16163/brand/1/csg/1/fhir/r4

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.

• Your Family Practice Team PC

  • Family Medicine Physician
  • Show Low, AZ
  • NPI 1396715611
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Healthcare Association

  dba Summit Healthcare Oncology Center

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128

  Hospital

  Care Compare affiliation
• Summit Healthcare Association

  dba Summit Healthcare Home Health

  • Home Health Agency
  • Show Low, AZ
  • NPI 1134199839
  Care Compare affiliation
• Summit Healthcare Association

  dba Summit Healthcare Regional Medical Center

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271
  Care Compare affiliation
• Summit Healthcare Medical Associates

  dba Family Medicine at Bison Ranch

  • Rural Health Clinic/Center
  • Overgaard, AZ
  • NPI 1770700767

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1174952741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 EVERGREEN LN",
            "address_2": "STE D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017928",
            "telephone_number": "928-940-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N WOODLAND RD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296563",
            "telephone_number": "928-940-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CAROL",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "STEWART",
            "middle_name": "ELAINE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Step Inn LLC
• Steven D Washburn PC
• Barbara Stone, PMH P, FNP
• Steven K Struthers, PA-C
• Debra Frances Stuart-Smalley, CNM
• John J Sullivan, DDS
• Summit Cardiology Center, LLC

• Primary Care Nurse Practitioner in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.