Individual provider Active NPI

Carolyn Nichole Marsters, R.N

  • Registered Nurse
  • Pueblo, CO
National Provider Identifier
1285867788
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
187850 Issued in CO
Practice address
729 Elmhurst PL
Pueblo, CO 81004-1262
Phone
(719) 250-1959
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 187850 CO Primary

Addresses

Primary practice location

729 Elmhurst PL
Pueblo, CO 81004-1262

Mailing address

729 Elmhurst PL
Pueblo, CO 81004-1262
Phone (719) 250-1959

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
187850COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1285867788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 ELMHURST PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041262",
            "telephone_number": "719-250-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 ELMHURST PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041262",
            "telephone_number": "719-250-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTERS",
        "first_name": "CAROLYN",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "187850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.