Individual provider Active NPI

Carole Marie Monte

  • Licensed Practical Nurse
  • Glendale, AZ
National Provider Identifier
1225686553
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
230680 Issued in AZ
Practice address
11441 N 55TH Ave
Glendale, AZ 85304-3402
Phone
(623) 412-4600
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 230680 AZ Primary

Addresses

Primary practice location

11441 N 55TH Ave
Glendale, AZ 85304-3402

Mailing address

11441 N 55TH Ave
Glendale, AZ 85304-3402
Phone (623) 412-4603

Other identifiers 1

IdentifierTypeStateIssuer
230680MedicaidAZ

Other names 1

  • Carole Marie Morgan- McGrady Former name

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

LicenseStateTypeSpecialty
230680AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1225686553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11441 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043402",
            "telephone_number": "623-412-4603",
            "fax_number": "623-412-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11441 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043402",
            "telephone_number": "623-412-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTE",
        "first_name": "CAROLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "230680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "MORGAN- MCGRADY",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.