Sheila Ann Carr

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1067086-1-AFC Issued in MN

Practice address

27295 Groningen Road
Sandstone, MN 55072

Phone

(320) 245-2735

Fax

(320) 233-0771

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2013.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1346676541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720519",
            "telephone_number": "320-245-2735",
            "fax_number": "320-233-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27295 GRONINGEN ROAD",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "55072",
            "telephone_number": "320-245-2735",
            "fax_number": "320-233-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1067086-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonny Bostrom
• Lauren Bradel-Warlick, PHD, LP
• Keith Matthew Bubb
• Samantha Rose Burch
• Danielle Marie Carlin, CNP
• Heidi Sue Cavagnetto, OTR
• James Cederstrom
• Sambath Cheath, FNP-C
• Tanya Rose Christopherson, RD, LD
• David James Ciaciura

• All providers in Sandstone, MN
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.