Active NPI
Zachary William Carson, APRN, AGPCNP-BC
- Gerontology Nurse Practitioner
- Galveston, TX
National Provider Identifier
1578029385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP140595
- Practice address
- 301 University Blvd
Galveston, TX 77555-0177 - Phone
- (409) 266-9631
- NPI assigned
- Feb 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP140595 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0177
Mailing address
301 University Blvd
Galveston, TX 77555-0177
Phone (409) 266-9631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP140595 | Other | TX | TEXAS BON APRN LISENCE NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP140595 | TX | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- zcarsonrn31354@direct.utmb.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1578029385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550177",
"telephone_number": "409-266-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550177",
"telephone_number": "409-266-9631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "ZACHARY",
"middle_name": "WILLIAM",
"credential": "APRN, AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-17",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP140595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BON APRN LISENCE NUMBER",
"identifier": "AP140595",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.