Donna Marie Carr, DC WITH PT PRIVILEGE

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

01823 Issued in MD

Practice address

2 N 2ND St
Laurel, MD 20723-1866

Phone

(301) 362-9252

Fax

(301) 362-1610

NPI assigned

Apr 25, 2007

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467671495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N 2ND ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231866",
            "telephone_number": "301-362-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N 2ND ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231866",
            "telephone_number": "301-362-9252",
            "fax_number": "301-362-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC WITH PT PRIVILEGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "01823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "M558(DM)",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7019935",
            "identifier": "OPTIMUM CHOICE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon D Carlisle
• Michael E Carlos, MD
• Jill Yvonne Carlson, M.D.
• Nyambi Carlson
• Suchitha Carr Jules
• Matthew V G Carr, M.S., CCC-SLP
• Wendy S Carr, PA-C
• Janine Carrington, DDS
• Lea Monet Carter
• William Vincent Carter, L.P.T.A.

• Sports Physician Chiropractor in Laurel, MD
• Providers in Laurel, MD by specialty
• Sports Physician Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.