Active NPI
Carol Ann Myers, CRNP
- Family Nurse Practitioner
- Spring Mills, PA
National Provider Identifier
1265442396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP000100B
- Practice address
- 4570 Penns Valley Rd
Ste 1
Spring Mills, PA 16875-8500 - Phone
- (814) 422-8873
- Fax
- (814) 422-8037
- NPI assigned
- Aug 9, 2006
- Last updated
- Mar 20, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP000100B | PA | Primary |
Addresses
Primary practice location
4570 Penns Valley Rd
Ste 1
Spring Mills, PA 16875-8500
Mailing address
4570 Penns Valley Rd
Ste 1
Spring Mills, PA 16875-8500
Phone (814) 422-8873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161293ZA9K | Other | PA | MEDICARE PTAN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP000100B | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1265442396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 PENNS VALLEY RD",
"address_2": "STE 1",
"city": "SPRING MILLS",
"state": "PA",
"postal_code": "168758500",
"telephone_number": "814-422-8873",
"fax_number": "814-422-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 PENNS VALLEY RD",
"address_2": "STE 1",
"city": "SPRING MILLS",
"state": "PA",
"postal_code": "168758500",
"telephone_number": "814-422-8873",
"fax_number": "814-422-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP000100B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "161293ZA9K",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Mills, PA
- Nicole Marie Krahling, RPH
- Candace M Maurer, CRNP
- Mount Nittany Medical Center
- Mount Nittany Medical Center
- Mount Nittany Medical Center Health Services Inc
- Salvatore Louis Nicosia Jr.
- Nittany Eye Associates LTD
- Penns Valley Area Medical Center PC
- Penns Valley Area School District
- Penns Valley Dental Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.