Individual provider Active NPI

Carissa Caye Escue, PHARMD

  • Pharmacist
  • Madison, TN
National Provider Identifier
1235482829
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26651 Issued in TN
Practice address
1508 Gallatin Pike S
Madison, TN 37115-5353
Phone
(615) 865-6095
Fax
(615) 868-5116
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26651 TN Primary

Addresses

Primary practice location

1508 Gallatin Pike S
Madison, TN 37115-5353

Mailing address

1508 Gallatin Pike S
Madison, TN 37115-5353
Phone (615) 865-6095

Other names 1

  • Carissa Chitwood Earhart 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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26651TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1235482829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155353",
            "telephone_number": "615-865-6095",
            "fax_number": "615-868-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155353",
            "telephone_number": "615-865-6095",
            "fax_number": "615-868-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUE",
        "first_name": "CARISSA",
        "middle_name": "CAYE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "26651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "EARHART",
            "middle_name": "CHITWOOD",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.