Carmen Leslie Traill, PSY NP

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN051263 Issued in AZ

Practice address

1400 N Gilbert Rd
Ste # G-2
Gilbert, AZ 85234-2328

Phone

(602) 402-1542

Fax

(650) 412-1542

NPI assigned

Sep 20, 2006

Last updated

Jul 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carmen Traill PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1558503813
  NPD (past) Authorized official
• Arizona Interfaith Counseling

  • Professional Counselor
  • Mesa, AZ
  • NPI 1699884395
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1356448278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850280275",
            "telephone_number": "602-402-1542",
            "fax_number": "650-412-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "address_2": "STE # G-2",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342328",
            "telephone_number": "602-402-1542",
            "fax_number": "650-412-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAILL",
        "first_name": "CARMEN",
        "middle_name": "LESLIE",
        "credential": "PSY NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "RN051263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittny Lajuan Townsend
• Erika Jade Townsend, PT, DPT
• Sandra Dee Traasdahl
• Traction Podiatry Group
• Nicholas Bradford Tracy, PHARMD, RPH
• Brian E Trainor, DO
• Lauren Trainor, M.ED., BCBA, LBA
• Taylor Trambulo, M.S., CCC-SLP
• Carmen Trammell, SLPA
• Emily Tran

• Adult Psychiatric/Mental Health Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.