Individual provider Active NPI

Debra Carr, C.N.P.

  • Nurse Practitioner
  • Powell, OH
National Provider Identifier
1407862444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP 06753 Issued in OH
Practice address
10330 Sawmill Pkwy
Suite 300
Powell, OH 43065-7790
Phone
(614) 794-0481
Fax
(614) 794-3711
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP 06753 OH Primary

Addresses

Primary practice location

10330 Sawmill Pkwy
Suite 300
Powell, OH 43065-7790

Mailing address

575 Copeland Mill Rd
Suite 1D
Westerville, OH 43081-8977
Phone (614) 794-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000276 OH Practitioner - Nurse Practitioner 1254393879 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 06753OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jun 1, 2014 Accepting new patients
Mount Carmel Health System CurrentSince Jun 1, 2014 Accepting new patients
Immediate Health Associates Past Accepting new patients

Locations

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407862444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COPELAND MILL RD",
            "address_2": "SUITE 1D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818977",
            "telephone_number": "614-794-0481",
            "fax_number": "614-794-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SAWMILL PKWY",
            "address_2": "SUITE 300",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657790",
            "telephone_number": "614-794-0481",
            "fax_number": "614-794-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "DEBRA",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP 06753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.