Organization Active NPI

Vicki Carr MD PA

  • Medical Specialty Clinic/Center
  • Spring, TX
National Provider Identifier
1295985059
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M7894 Issued in TX
Legal business name
VICKI CARR MD PA
Practice address
20311 Kuykendahl Rd
Spring, TX 77379-2611
Phone
(832) 717-3376
Fax
(832) 717-0004
NPI assigned
Sep 29, 2008
Last updated
Aug 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Dr. Vicki L Carr, MDNPI 1619172202
Title
President
Phone
(832) 717-3376

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
Medical Specialty Clinic/Center 261QM2500X M7894 TX Primary

Addresses

Primary practice location

20311 Kuykendahl Rd
Spring, TX 77379-2611

Mailing address

20311 Kuykendahl Rd
Spring, TX 77379-2611
Phone (832) 717-3376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000467 TX Part B Supplier - Clinic/Group Practice 0042370918 Receives reassigned benefits from 8 practitioners
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1295985059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792611",
            "telephone_number": "832-717-3376",
            "fax_number": "832-717-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792611",
            "telephone_number": "832-717-3376",
            "fax_number": "832-717-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI CARR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-717-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M7894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.