Active NPI
Carter Brooke Vann, MMSC, PA-C
- Physician Assistant
- Norwalk, CT
National Provider Identifier
1578842217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002605
- Practice address
- 34 Maple St
Norwalk, CT 06850-3815 - Phone
- (203) 852-2188
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002605 | CT | Primary |
Addresses
Primary practice location
34 Maple St
Norwalk, CT 06850-3815
Mailing address
3204 Fernway Rd
Mountain BRK, AL 35223-1326
Phone (205) 936-1736
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002605 | CT | MD | Cognitive & Behavioral Psychologist |
| 2605 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1578842217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 FERNWAY RD",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352231326",
"telephone_number": "205-936-1736",
"fax_number": "205-870-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MAPLE ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503815",
"telephone_number": "203-852-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "CARTER",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "MMSC, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.