Active NPI
Colleen A McCarter, FNP
- Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1194780635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN0345797
- Practice address
- 6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761 - Phone
- (480) 981-8650
- Fax
- (480) 981-1563
- NPI assigned
- Apr 18, 2006
- Last updated
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN0345797 | AZ | Primary |
Addresses
Primary practice location
6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Mailing address
9832 E Glencove St
Mesa, AZ 85207-4444
Phone (480) 220-8205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917700 | Medicaid | AZ | |
| 2Z2150 | Other | HEALTHNET |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0345797 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1194780635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9832 E GLENCOVE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852074444",
"telephone_number": "480-220-8205",
"fax_number": "480-984-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6828 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852073761",
"telephone_number": "480-981-8650",
"fax_number": "480-981-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTER",
"first_name": "COLLEEN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN0345797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917700",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Z2150",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.