Katherine Elizabeth Carrera, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

345 Issued in AK

Practice address

3340 Providence Dr
Suite 366
Anchorage, AK 99508-4627

Phone

(907) 563-3026

NPI assigned

May 14, 2009

Last updated

May 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Katherine Elizabeth Otto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatrix Medical Group of Florida Inc

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  • Sunrise, FL
  • NPI 1083711790
  NPD

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1245464551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 ESSEX ST",
            "address_2": "UNIT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033323",
            "telephone_number": "619-203-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "SUITE 366",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084627",
            "telephone_number": "907-563-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "AK",
            "license": "345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "OTTO",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristie Carranza, RBT
• Sielo Mal Carrasquillo Filpo
• Simon William Carraway, D.C.
• Jazmin Janette Carreon
• Promise Love Joy B Carreon
• Justin Carricaburu, M.D.
• Rachael C Carricaburu, MD
• Erin Peschel Carrick, PA-C
• Jatsiri Carrillo Cuevas
• Jason Ah-Som Carrillo

• Critical Care Neonatal Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Critical Care Neonatal Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.