Gloria Carr

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

4704200513 Issued in MI

Legal business name

GLORIA CARR

Practice address

404 Velvet Ave
Portage, MI 49002-7050

Phone

(269) 491-5647

NPI assigned

Jul 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gloria Jackson Carr, RN/LNC

Title

RN

Phone

(269) 491-5647

Specialties & licenses 1

Addresses

Other names 1

• Gloria Carr Doing business as

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1548426372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 VELVET AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490027050",
            "telephone_number": "269-491-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 VELVET AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490027050",
            "telephone_number": "269-491-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA CARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "269-491-5647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN/LNC"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "4704200513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria Carr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R Gissal, DDS
• Heidi S Gjersoe, M.D.
• Kyla Glascock
• Kerissa Glascott
• Jeffrey Globerson, DO
• Mark Allen Glubke, MA, LPC
• Jomarie Goerge, LMSW
• Mark G Goetting, MD
• Daniel Goldberger
• Geraldine Gomez, LLMSW

• Psychiatric Hospital Unit in Portage, MI
• Providers in Portage, MI by specialty
• Psychiatric Hospital Unit in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.