Cary Robert Cole, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

314005 Issued in AZ

Practice address

10200 W Happy Valley Pkwy Ste 125
Peoria, AZ 85383-2878

Phone

(480) 737-5076

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Injx Bar LLC

  dba Injx Bar

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1457153306
  NPD Authorized official

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1285396598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W HAPPY VALLEY PKWY STE 125",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832878",
            "telephone_number": "480-737-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W HAPPY VALLEY PKWY STE 125",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832878",
            "telephone_number": "480-737-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CARY",
        "middle_name": "ROBERT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "314005",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN213081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Alicia Coffey, NP
• Michael Cofield, PHD
• Stephany Cohen
• Cole Vision Corporation
• Alysha Marie Cole, FNP
• Daveda Cole, LMT
• Walter James Cole, RN
• Lynne Shaunte Coleman, MSN, APRN, FNP-C
• Meredith Coleman, MS CCC-SLP
• Sharon Coleman, LCSW

• Family Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.