Active NPI
Jill E Carter
- Licensed Vocational Nurse
- Dallas, TX
National Provider Identifier
1407202047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 117003
- Practice address
- 4099 McEwen Rd
Dallas, TX 75244-5030 - Phone
- (214) 754-8700
- NPI assigned
- May 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 117003 | TX | Primary |
Addresses
Primary practice location
4099 McEwen Rd
Dallas, TX 75244-5030
Mailing address
6214 Rhapsody LN
Dallas, TX 75241-2622
Phone (214) 725-9233
Other names 1
- Ms. Jill E Carter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117003 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1407202047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 RHAPSODY LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412622",
"telephone_number": "214-725-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4099 MCEWEN RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445030",
"telephone_number": "214-754-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JILL",
"middle_name": "E",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "117003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "CARTER",
"middle_name": "E",
"prefix": "MS.",
"credential": "LVN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.