Carolyn L Bidwell, MA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

61 N Willow St
Ste #4
Mesquite, NV 89027-4785

Phone

(702) 346-4696

Fax

(702) 346-4699

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1376957167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 RISCOS HILL RD",
            "address_2": "HC 33 BOX 2772",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891611106",
            "telephone_number": "303-345-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N WILLOW ST",
            "address_2": "STE #4",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274785",
            "telephone_number": "702-346-4696",
            "fax_number": "702-346-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "CAROLYN",
        "middle_name": "L",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gilbert Blancarte, M.D.
• Beatrice Mary Blay, FNP
• Alex D. Blazzard, D.D.S.
• Brett P Richardson OD PLLC

• Case Manager/Care Coordinator in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.