Organization Active NPI

Montecito Specialty Care a Professional Nursing Corp

  • Gerontology Nurse Practitioner
  • Montecito, CA
National Provider Identifier
1225995137
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
MONTECITO SPECIALTY CARE A PROFESSIONAL NURSING CORP
Practice address
1187 Coast Village Rd Ste 1-747
Montecito, CA 93108-2737
Phone
(805) 881-8512
NPI assigned
Jan 5, 2026
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Carrie Anderson, NURSE PRACTITIONERNPI 1528432952
Title
FNP
Phone
(805) 881-8512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU
Gerontology Nurse Practitioner 363LG0600X NU Primary
Women's Health Nurse Practitioner 363LW0102X NU

Addresses

Primary practice location

1187 Coast Village Rd Ste 1-747
Montecito, CA 93108-2737

Mailing address

1187 Coast Village Rd Ste 1-747
Montecito, CA 93108-2737
Phone (805) 881-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260217003701 CA Part B Supplier - Clinic/Group Practice 5597245514 Receives reassigned benefits from 1 practitioner
Practice locations: Montecito, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1225995137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 1-747",
            "city": "MONTECITO",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-881-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 1-747",
            "city": "MONTECITO",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-881-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTECITO SPECIALTY CARE A PROFESSIONAL NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "805-881-8512",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montecito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.