Active NPI
Sally Carrasco, RN
- Long-Term Care Clinical Nurse Specialist
- Howell, MI
National Provider Identifier
1407423221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long-Term Care Clinical Nurse Specialist
- License
- 4704326610
- Practice address
- 1500 Byron Rd
Howell, MI 48855-6772 - Phone
- (517) 552-9323
- Fax
- (517) 552-9324
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Long-Term Care Clinical Nurse Specialist | 364SL0600X | 4704326610 | MI | Primary |
Addresses
Primary practice location
1500 Byron Rd
Howell, MI 48855-6772
Mailing address
1940 Acorn Valley Dr
Howell, MI 48855-6846
Phone (517) 614-5655
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704326610 | MI | MD | Long-Term Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1407423221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 ACORN VALLEY DR",
"city": "HOWELL",
"state": "MI",
"postal_code": "488556846",
"telephone_number": "517-614-5655",
"fax_number": "517-552-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 BYRON RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488556772",
"telephone_number": "517-552-9323",
"fax_number": "517-552-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASCO",
"first_name": "SALLY",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SL0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Long-Term Care",
"state": "MI",
"license": "4704326610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.