Individual provider Active NPI

Kandace Carr

  • Social Worker
  • Tempe, AZ
National Provider Identifier
1194347815
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1512 S Price Rd Apt 108
Tempe, AZ 85281-6139
Phone
(602) 423-3623
NPI assigned
May 15, 2020
Last updated
May 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

1512 S Price Rd Apt 108
Tempe, AZ 85281-6139

Mailing address

1512 S Price Rd Apt 108
Tempe, AZ 85281-6139
Phone (602) 423-3623

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Phoenix
Other URL maawc.org

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1194347815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S PRICE RD APT 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816139",
            "telephone_number": "602-423-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S PRICE RD APT 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816139",
            "telephone_number": "602-423-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "1512 S Price Rd Apt 108",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852816139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maawc.org",
            "affiliation": "N",
            "address_1": "1512 S Price Rd Apt 108",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852816139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.