Carla Renelle McEwan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

045102 Issued in MO

Practice address

107 W Broadway St
El Dorado Springs, MO 64744-1133

Phone

(417) 876-5314

Fax

(417) 876-5328

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1508198235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W. BROADWAY",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "64744",
            "telephone_number": "417-876-5314",
            "fax_number": "417-876-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W BROADWAY ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441133",
            "telephone_number": "417-876-5314",
            "fax_number": "417-876-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "CARLA",
        "middle_name": "RENELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "045102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Lloyd Linsenmayer, DC
• Nancy A Maenhoudt, LCSW
• Cory Martin
• Brandi McCullough, PHARMD
• Kevin Alan McCullough, PHARM.D.
• David A. McGatha, FNP-C
• Sandra Jo McGatha, LCSW
• Chandler B McKinney, PA
• Brooke Nicole McPeak, FNP-C
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-El Dorado Springs)

• Licensed Practical Nurse in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.