Active NPI
Justine Brittany Carmichael, MSN, FNP-C
- Nurse Practitioner
- Carlsbad, NM
National Provider Identifier
1265994107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 55706
- Practice address
- 1034 N Spring St
Carlsbad, NM 88220-5150 - Phone
- (575) 941-3854
- Fax
- (575) 941-3592
- NPI assigned
- Apr 1, 2019
- Last updated
- Apr 1, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 55706 | NM | Primary |
Addresses
Primary practice location
1034 N Spring St
Carlsbad, NM 88220-5150
Mailing address
911 Painted Pony LN
Artesia, NM 88210-9394
Phone (575) 308-9992
Other practice location 1
813 N Washington Ave
Roswell, NM 88201-3999
Phone (575) 622-2606
Other practice location 2
608 N 1st St
Artesia, NM 88210-1402
Phone (575) 746-8880
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55706 | NM | MD | Nurse Practitioner |
Interoperability endpoints
- justine@bca.pcc-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1265994107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 PAINTED PONY LN",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882109394",
"telephone_number": "575-308-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N SPRING ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205150",
"telephone_number": "575-941-3854",
"fax_number": "575-941-3592"
}
],
"practiceLocations": [
{
"address_1": "813 N Washington Ave",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882013999",
"country_code": "US",
"telephone_number": "575-622-2606",
"fax_number": "575-622-6645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "608 N 1st St",
"address_purpose": "LOCATION",
"city": "Artesia",
"state": "NM",
"postal_code": "882101402",
"country_code": "US",
"telephone_number": "575-746-8880",
"fax_number": "575-746-2416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMICHAEL",
"first_name": "JUSTINE",
"middle_name": "BRITTANY",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "55706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.