Active NPI
Carolyn R Telford, PA-C
- Physician Assistant
- Fort Worth, TX
National Provider Identifier
1235266412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01356
- Practice address
- 2931 Oak Park Cir
Ft Worth, TX 76109-1891 - Phone
- (817) 924-3000
- Fax
- (817) 924-3010
- NPI assigned
- Feb 27, 2007
- Last updated
- Feb 20, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01356 | TX | Primary |
Addresses
Primary practice location
2931 Oak Park Cir
Ft Worth, TX 76109-1891
Mailing address
2931 Oak Park Cir
Ft Worth, TX 76109-1891
Phone (817) 924-3000
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01356 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1235266412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 OAK PARK CIR",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761091891",
"telephone_number": "817-924-3000",
"fax_number": "817-924-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 OAK PARK CIR",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761091891",
"telephone_number": "817-924-3000",
"fax_number": "817-924-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELFORD",
"first_name": "CAROLYN",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.