NPIMap

Organization Active NPI

Care Track Consulting LLC

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1265975163
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
AP115470 Issued in TX
Legal business name
CARE TRACK CONSULTING LLC
Practice address
5440 Harvest Hill Rd Ste 182
Dallas, TX 75230-1605
Phone
(214) 213-4726
Fax
(866) 672-8204
NPI assigned
Nov 23, 2016
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Sandra J Petersen, DNP, APRN, GNP-BCNPI 1548396849
Title
Provider/Owner
Phone
(214) 213-4726

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AP115470 TX Primary

Addresses

Primary practice location

5440 Harvest Hill Rd Ste 182
Dallas, TX 75230-1605

Mailing address

5440 Harvest Hill Rd Ste 182
Dallas, TX 75230-1605
Phone (214) 213-4726

Other identifiers 2

IdentifierTypeStateIssuer
1548396849OtherTXINDIVIDUAL NPI
TXB131306OtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170826000305 TX Part B Supplier - Clinic/Group Practice 0042582959 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1265975163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 HARVEST HILL RD STE 182",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301605",
            "telephone_number": "214-213-4726",
            "fax_number": "866-672-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 HARVEST HILL RD STE 182",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301605",
            "telephone_number": "214-213-4726",
            "fax_number": "866-672-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE TRACK CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "214-213-4726",
        "authorized_official_credential": "DNP, APRN, GNP-BC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "AP115470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1548396849",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB131306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.