Individual provider Active NPI

Carrie Dawn Stolfa, NP

  • Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1467104539
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1036025 Issued in TX
Practice address
1320 Wonder World Dr Ste 105
San Marcos, TX 78666-7558
Phone
(210) 494-0690
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 1036025 TX Primary

Addresses

Primary practice location

1320 Wonder World Dr Ste 105
San Marcos, TX 78666-7558

Mailing address

303 E Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774

Other names 1

  • Carrie Dawn Standlee Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220315000040 TX Practitioner - Nurse Practitioner 6002201829 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oak Allergy PA CurrentSince Jan 31, 2022 Accepting new patients

Locations

11762 Jollyville Rd
Austin, TX 78759
Phone (512) 258-2300

303 E Main St
Round Rock, TX 78664

525 Oak Centre Dr
Ste 110
San Antonio, TX 78258
Phone (210) 494-0690

1320 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (210) 494-0690

601A Leah Ave
San Marcos, TX 78666
Phone (210) 497-3972

Organizations & group practices 1

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1467104539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 105",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558",
            "telephone_number": "210-494-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLFA",
        "first_name": "CARRIE",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1036025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "STANDLEE",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.