Individual provider Active NPI

Catherine Carelock

  • Home Health Registered Nurse
  • Capitol Heights, MD
National Provider Identifier
1558729483
Registry record updated Feb 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
A00009937 Issued in MD
Practice address
4008 Clark St
Capitol Heights, MD 20743-5740
Phone
(301) 736-3237
Fax
(301) 736-3237
NPI assigned
Feb 6, 2016
Last updated
Feb 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X A00009937 MD Primary
Home Health Registered Nurse 163WH0200X HHA11668 DC

Addresses

Primary practice location

4008 Clark St
Capitol Heights, MD 20743-5740

Mailing address

4008 Clark St
Capitol Heights, MD 20743-5740
Phone (301) 736-3237

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

LicenseStateTypeSpecialty
HHA11668DCMDHome Health Registered Nurse
A00009937MDMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454716800000",
    "number": "1558729483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 CLARK ST",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435740",
            "telephone_number": "301-736-3237",
            "fax_number": "301-736-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 CLARK ST",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435740",
            "telephone_number": "301-736-3237",
            "fax_number": "301-736-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELOCK",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "A00009937",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "HHA11668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.