Andrea Yoshiko Carter, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1056750 Issued in TX

Practice address

3960 Broadway Blvd Ste 232
Garland, TX 75043-2591

Phone

(469) 573-5539

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dream Work Ic PLLCGroup PAC ID 0345613972, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dream Work Ic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frisco, TX
  • NPI 1669178364
  Medicare reassignment Care Compare group NPD
• Hamada Healing Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
  • NPI 1982479176
  Medicare reassignment NPD Authorized official
• Holistic Health and Psychiatry

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1649870783

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1417619701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 232",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432591",
            "telephone_number": "469-573-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 232",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432591",
            "telephone_number": "469-573-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDREA",
        "middle_name": "YOSHIKO",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinie Carroll, DDS
• Carrollton Surgery Center PA
• Carrus Behavioral Hospital LLC (Carrus Care Garland)
• Carter Care Services Incorporated (Carter Care Therapeutic Services)
• Adrina Carter, LMT
• Kwameshia Carter
• Karen Michelle Caruthers, BA
• Casa Transportation
• Meghan E Case, COTA
• Sharon Sue Cassidy, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.