Active NPI
Carman Charles Loates, REGISTERED NURSE
- Day Training/Habilitation Specialist
- El Paso, TX
National Provider Identifier
1487007688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- R30018
- Practice address
- 170 Polo Inn Rd
El Paso, TX 79915-4246 - Phone
- (719) 369-4927
- NPI assigned
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | R30018 | NM | |
| Day Training/Habilitation Specialist | 373H00000X | R30018 | NM | Primary |
Addresses
Primary practice location
170 Polo Inn Rd
El Paso, TX 79915-4246
Mailing address
170 Polo Inn Rd
El Paso, TX 79915-4246
Phone (719) 369-4927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R30018 | NM | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1487007688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 POLO INN RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799154246",
"telephone_number": "719-369-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 POLO INN RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799154246",
"telephone_number": "719-369-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOATES",
"first_name": "CARMAN",
"middle_name": "CHARLES",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NM",
"license": "R30018",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NM",
"license": "R30018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.