Active NPI
Shannon A Carro, OTR
- Orthotic Fitter
- Wichita, KS
National Provider Identifier
1194801019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- T00720
- Practice address
- 340 S Broadway St
Wichita, KS 67202-4304 - Phone
- (316) 267-5437
- Fax
- (316) 267-5444
- NPI assigned
- Oct 31, 2006
- Last updated
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | T00720 | KS | Primary |
Addresses
Primary practice location
340 S Broadway St
Wichita, KS 67202-4304
Mailing address
1655 S Georgetown St
Wichita, KS 67218-4140
Phone (316) 685-0400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T00720 | KS | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1194801019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 S GEORGETOWN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672184140",
"telephone_number": "316-685-0400",
"fax_number": "316-612-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672024304",
"telephone_number": "316-267-5437",
"fax_number": "316-267-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRO",
"first_name": "SHANNON",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "KS",
"license": "T00720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.