Carlie O'Meara

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN314370 Issued in GA

Practice address

306 Spotted Ridge Cir
Woodstock, GA 30188-2625

Phone

(203) 650-1162

NPI assigned

Aug 17, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1437877305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BETHANY CREEK BND",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883339",
            "telephone_number": "203-650-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SPOTTED RIDGE CIR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882625",
            "telephone_number": "203-650-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEARA",
        "first_name": "CARLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN314370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33568332",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Cone O'Hare, CCC-SLP
• Danielle O'Kelly
• Ryan G O'Kelly, LPC
• Callie O'Leary, PT, DPT
• Kathleen A. O'Mahony, LPC
• Steven Bruce O'Neal, D.D.S.
• Kelli O'Neill, LAPC
• Oak & Anvil PT & Performance LLC
• Oakbridge Chiropractic
• OB-GYN Associates, PA

• Family Nurse Practitioner in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.