Carrie Lorraine Androshak, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

588828 Issued in CA

Practice address

1145 Sturgis Rd
Twentynine Palms, CA 92278

Phone

(760) 830-2017

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Lorraine Masi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1366263402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 STURGIS RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROSHAK",
        "first_name": "CARRIE",
        "middle_name": "LORRAINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "588828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "MASI",
            "middle_name": "LORRAINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Affiliated Psychological Services
• Diego Armando Aguilar, PHARMD, RPH
• Dianne J. Devoll Aldrich, FNP, CNM
• An Nguyen DDS Prof Corp (29 Palms Dental)
• Brooke Andrews
• Erric Leif Apeland, IDC
• Raoul Archambault IV, PHARMD
• Aaron Michael Arzamendi, M.D.
• Joshua Stuart Bagley, DPT
• Christopher Barajas

• Case Management Registered Nurse in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.