Active NPI
Carla J Vizcarra
- Peer Specialist
- Parkersburg, WV
National Provider Identifier
1548975246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 184 Holiday Hills Dr
Parkersburg, WV 26104-8006 - Phone
- (304) 420-4200
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
184 Holiday Hills Dr
Parkersburg, WV 26104-8006
Mailing address
184 Holiday Hills Dr
Parkersburg, WV 26104-8006
Phone (304) 420-4200
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSRC, LLC | Past | Accepting new patients | |
| Jason a. Moore, D.C. PLLC | Past | Accepting new patients | |
| Recovery Resource Group | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Huntington, WV
- NPI 1316168271
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1194294587
-
- Community/Behavioral Health Agency
- Huntington, WV
- NPI 1669066858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1548975246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 HOLIDAY HILLS DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048006",
"telephone_number": "304-420-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 HOLIDAY HILLS DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048006",
"telephone_number": "304-420-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZCARRA",
"first_name": "CARLA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.