Carolyn Kay Caraway, FNP
Individual provider Active NPI Family Medicine Physician · Fort Sumner, NM
NPI 1306832019 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1306832019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R56759 (NM)
- Practice address
- 546 N. 10TH St.
Fort Sumner, NM 88119-0349 - Phone
- (575) 355-2414
- Fax
- (575) 355-7894
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R56759 | NM | Yes |
Addresses
Primary practice location
546 N. 10TH St.
Fort Sumner, NM 88119-0349
Mailing address
546 N 10TH Street
Fort Sumner, NM 88119-0349
Phone (575) 355-2414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092912701 | Medicaid | TX | |
| S702 | Medicaid | NM |
Other names
- Carolyn Kay Swint
Other providers in Fort Sumner, NM
- Addison Drug
- Terry Lynn Addison
- Michelle Antoinette Bruce
- Josephine Dolores Cones
- Cross Heart Care LLC
- De Baca Family Practice Clinic
- De Baca Family Practice Clinic
- De Baca Family Practice Clinic
All providers in Fort Sumner, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.