Carolyn Rex

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063864 Issued in MI

Practice address

363 Fremont St Ste 203
Battle Creek, MI 49017-3398

Phone

(269) 969-6123

Fax

(269) 969-6122

NPI assigned

Apr 29, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolyn Parks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

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.

• Dayone City Care

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1659771426
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619322468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-1000",
            "fax_number": "517-364-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173398",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 W Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489151927",
            "country_code": "US",
            "telephone_number": "517-364-7700",
            "fax_number": "517-364-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REX",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801063864",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "PARKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Residential Home Sleep Services
• Steven Reuter, RPH
• Revive Hydration & Wellness LLC (Revive Hydration & Wellness)
• Brock Reynolds
• Frederick A. Reynolds, MSW
• Mollie Reynolds
• Suzanne Jerome Reynolds, M.S.W.
• Rhema Battle Creek Operating LLC (Manor of Battle Creek Skilled Nursing and Rehabilitation)

• Clinical Social Worker in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.