Individual provider Active NPI

Rachel Carlton

  • Licensed Practical Nurse
  • Pea Ridge, AR
National Provider Identifier
1609182674
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L49126 Issued in AR
Practice address
827 West Slack Street
Pea Ridge, AR 72751
Phone
(479) 451-9434
Fax
(479) 488-6220
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L49126 AR Primary

Addresses

Primary practice location

827 West Slack Street
Pea Ridge, AR 72751

Mailing address

PO Box 585
Pea Ridge, AR 72751-0585
Phone (479) 451-9434

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
L49126ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas Pediatric Therapy Services, Inc PastSince Aug 26, 2015 Accepting new patients
Peronia Physical Therapy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1609182674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727510585",
            "telephone_number": "479-451-9434",
            "fax_number": "479-488-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 WEST SLACK STREET",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "72751",
            "telephone_number": "479-451-9434",
            "fax_number": "479-488-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L49126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pea Ridge, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.