Individual provider Active NPI

Justine Brittany Carmichael, MSN, FNP-C

  • Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1265994107
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
55706 Issued in NM
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
55706NMMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.