Carrie Ann Pursifull

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80161 Issued in TX

Practice address

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501

Phone

(210) 930-2016

NPI assigned

Jun 25, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184820383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD",
            "address_2": "STE 808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091136",
            "telephone_number": "210-930-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-930-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSIFULL",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Prokopiak, OTR/L, CHT
• Laci Nikole Pruitt
• Alicia Pryce
• Christina M Pulliam
• Matthew Purdy, DO
• Leanne Putnam, FNP-C
• Valerie Hope Putnam, RN-NCM-CCM
• Charles Daniel Quick, OTR
• James M Quinn, M.D.
• Xavier Alexis Quinones, M.D.

• Registered Dietitian in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.