Individual provider Active NPI

Roxanne Carney, PMHNP-BC

  • Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1417611591
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95031356 Issued in CA
Practice address
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone
(657) 261-7140
Fax
(714) 922-1032
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 95031356 CA Primary

Addresses

Primary practice location

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Mailing address

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Other names 1

  • Roxanne Sweeney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241023001365 CA Practitioner - Nurse Practitioner 1456884907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-1011

1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-1078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Sep 10, 2024 Accepting new patients
Telecare Corporation CurrentSince Sep 10, 2024 Accepting new patients
Telecare Corporation CurrentSince Sep 1, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140

12141 Brookhurst St
Garden Grove, CA 92840
Phone (714) 296-1934

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1417611591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 BROOKHURST ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 BROOKHURST ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402865",
            "telephone_number": "657-261-7140",
            "fax_number": "714-922-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "SWEENEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.